Organization Active NPI

Children'S Therapy Team, LLC

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1467536466
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2309 Issued in AR
Legal business name
CHILDREN'S THERAPY TEAM, LLC
Practice address
2474 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4519
Phone
(479) 521-8326
Fax
(479) 521-5439
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Kymbrly Hannah, PT
Title
President
Phone
(479) 521-8326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT2309 AR Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OTR2064 AR

Addresses

Primary practice location

2474 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4519

Mailing address

2474 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4519
Phone (479) 521-8326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467536466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 E JOYCE BLVD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034519",
            "telephone_number": "479-521-8326",
            "fax_number": "479-521-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 E JOYCE BLVD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034519",
            "telephone_number": "479-521-8326",
            "fax_number": "479-521-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "KYMBRLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-521-8326",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2309",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR2064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.