Star Therapy, P.a.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

613 Issued in AR

Legal business name

STAR THERAPY, P.A.

Practice address

909 W Main St
Green Forest, AR 72638-2316

Phone

(870) 423-9246

Fax

(877) 425-4393

NPI assigned

Apr 23, 2007

Last updated

Oct 6, 2020By 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

Jennifer Carol Fry, M.S., CCC-SLPNPI 1194932848

Title

Speech Pathologist

Phone

(870) 553-2284

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Jennifer Carol Fry, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Green Forest, AR
  • NPI 1194932848
  NPD Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1467670372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 COUNTY ROAD 9951",
            "city": "GREEN FOREST",
            "state": "AR",
            "postal_code": "726384022",
            "telephone_number": "870-423-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST",
            "city": "GREEN FOREST",
            "state": "AR",
            "postal_code": "726382316",
            "telephone_number": "870-423-9246",
            "fax_number": "877-425-4393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 S Main St",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "AR",
            "postal_code": "726164333",
            "country_code": "US",
            "telephone_number": "870-423-9246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAR THERAPY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "870-553-2284",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129993742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119425721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ozarks Occupational Therapy Inc
• Pam Page
• Emily Leah Richter, M.S. CCC-SLP
• Emily Smith, RN
• Whitney Lynn Snow
• Matthew W Uldrich
• Johnna Charnett Warren, BSN, RN
• Allyson Worley

• Speech-Language Pathologist in Green Forest, AR
• Providers in Green Forest, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.