NPIMap

Organization Active NPI

Jarvis Pediatric Therapy, Inc.

  • Specialist
  • Springdale, AR
National Provider Identifier
1467561688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OTR639 Issued in AR
Legal business name
JARVIS PEDIATRIC THERAPY, INC.
Practice address
3896 Elm Springs Rd
Suite D
Springdale, AR 72762-2703
Phone
(479) 750-7778
Fax
(479) 750-7708
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Wendy Lee Jarvis, OTR/LNPI 1437116027
Title
Owner/Operater
Phone
(479) 750-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OTR639 AR Primary

Addresses

Primary practice location

3896 Elm Springs Rd
Suite D
Springdale, AR 72762-2703

Mailing address

3896 Elm Springs Rd
Suite D
Springdale, AR 72762-2703
Phone (479) 750-7778

Other identifiers 1

IdentifierTypeStateIssuer
5F272OtherARBC/BS GROUP PROVIDER NUMB

National Provider Directory

National Provider Directory

Locations

5507 W Walsh Ln
Ste 102
Rogers, AR 72758
Phone (479) 367-2806

2070 McKenzie Rd
Ste C
Springdale, AR 72762
Phone (479) 750-7778

3896 Elm Springs Rd
Ste D
Springdale, AR 72762
Phone (479) 750-7778

986 Elmwood St
Ste B
Springdale, AR 72762
Phone (479) 750-7778

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467561688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3896 ELM SPRINGS RD",
            "address_2": "SUITE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622703",
            "telephone_number": "479-750-7778",
            "fax_number": "479-750-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3896 ELM SPRINGS RD",
            "address_2": "SUITE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622703",
            "telephone_number": "479-750-7778",
            "fax_number": "479-750-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIS PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATER",
        "authorized_official_telephone_number": "479-750-7778",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "OTR639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PROVIDER NUMB",
            "identifier": "5F272",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.