Organization Active NPI

Kidspiration Pediatric Therapy Services Too, Inc.

  • Primary Care Clinic/Center
  • Melbourne, AR
National Provider Identifier
1508352485
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KIDSPIRATION PEDIATRIC THERAPY SERVICES TOOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
226010742MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Kidspiration Pediatric Therapy Services Too Inc2 organizations share this tax ID, including this one
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.

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.

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

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.

Verify at the official NPI Registry.