Arkansas Kids in Motion

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT-3059 Issued in AR

Legal business name

ARKANSAS KIDS IN MOTION

Doing business as

Kids In Motion

Practice address

2104 Trinity Oaks Dr
Jonesboro, AR 72401-3662

Phone

(870) 882-6921

NPI assigned

Dec 27, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dartell Treadwell, PT, DPTNPI 1245560606

Title

Owner

Phone

(870) 882-6921

Specialties & licenses 1

Addresses

Other names 1

• Kids In Motion Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dartell Dante Treadwell, DPT

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1245560606
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1437547445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 TRINITY OAKS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 TRINITY OAKS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013662",
            "telephone_number": "870-882-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS KIDS IN MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-27",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "TREADWELL",
        "authorized_official_first_name": "DARTELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-882-6921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT-3059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids In Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Arkansas Home Monitoring
• Arkansas Orthodontic Center
• Arkansas Orthopedics PA
• Arkansas Orthopedics PA
• Arkansas State University Athletic Training
• Arkansas State University Student Health Center

• Pediatric Physical Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pediatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.