Active NPI
Kidspiration Pediatric Therapy Services Too, Inc.
- Primary Care Clinic/Center
- Melbourne, AR
National Provider Identifier
1508352485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- KIDSPIRATION PEDIATRIC THERAPY SERVICES TOO, INC.
- Practice address
- 889 Main St
Melbourne, AR 72556-8205 - Phone
- (870) 368-4586
- NPI assigned
- Jul 3, 2018
- Last updated
- Jul 3, 2018
- Organization subpart
- Yes
- Parent organization
- KIDSPIRATION PEDIATRIC THERAPY SERVICES TOO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Charlotte Claxton
- Title
- Billing MGR
- Phone
- (870) 368-4586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | AR | Primary |
Addresses
Primary practice location
889 Main St
Melbourne, AR 72556-8205
Mailing address
PO Box 967
Melbourne, AR 72556-0967
Phone (870) 368-4586
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226010742 | Medicaid | AR |
National Provider Directory
National Provider Directory- Tax ID family
- Kidspiration Pediatric Therapy Services Too Inc
- Part of
- Kidspiration Pediatric Therapy Services Too Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Melbourne, AR
- NPI 1265871248
Locations
889 Main St
Melbourne, AR 72556
Phone (870) 368-4586
Practitioners & affiliated clinicians
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.
-
- Developmental Therapist
- Melbourne, AR
- NPI 1558729236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530576000000",
"number": "1508352485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "725560967",
"telephone_number": "870-368-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "889 MAIN ST",
"city": "MELBOURNE",
"state": "AR",
"postal_code": "725568205",
"telephone_number": "870-368-4586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDSPIRATION PEDIATRIC THERAPY SERVICES TOO, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KIDSPIRATION PEDIATRIC THERAPY SERVICES TOO",
"enumeration_date": "2018-07-03",
"last_updated": "2018-07-03",
"status": "A",
"authorized_official_last_name": "CLAXTON",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "BILLING MGR",
"authorized_official_telephone_number": "870-368-4586",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226010742",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, AR
- Susan Anne Jordan, M.D.
- Kah Development 4, LLC (CenterWell Home Health)
- Natasha Ann Kearbey, MCD CCC SLP
- Kids El Melbourne
- Kidspiration Pediatric Therapy Services Too, Inc.
- Kidspiration Too Pediatric Therapy Services (Kindspiration Too Outpatient Services)
- Kidspiration Too Pediatric Therapy Services
- Brooke Lee Kimble, LPN
- Michelle Klein, RECOVERY ADVOCATE
- Melissa Weaver Lamb, OTR-L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.