NPIMap

Organization Active NPI

Kindred Pediatric Therapy, PLC

Doing business as Post Pediatric Therapies- Fayetteville

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1508574963
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KINDRED PEDIATRIC THERAPY, PLC
Doing business as
Post Pediatric Therapies- Fayetteville
Practice address
3162 W Martin Luther King Jr Blvd Ste 4
Fayetteville, AR 72704-7679
Phone
(479) 435-6636
NPI assigned
Nov 14, 2022
Last updated
Nov 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Allison R Corter, SLPNPI 1538420286
Title
Owner
Phone
(479) 435-6636

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3162 W Martin Luther King Jr Blvd Ste 4
Fayetteville, AR 72704-7679

Mailing address

3162 W Martin Luther King Jr Blvd Ste 4
Fayetteville, AR 72704-7679
Phone (479) 435-6636

Other names 1

  • Post Pediatric Therapies- Fayetteville Doing business as

National Provider Directory

National Provider Directory

Locations

3162 W Martin Luther King Jr Blvd
Ste 2
Fayetteville, AR 72704
Phone (479) 435-6636

3162 W Martin Luther King Jr Blvd
Ste 4
Fayetteville, AR 72704
Phone (479) 435-6636

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1508574963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING JR BLVD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-435-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING JR BLVD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-435-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED PEDIATRIC THERAPY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "CORTER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-435-6636",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Post Pediatric Therapies- Fayetteville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 23, 2022; 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.