NPIMap

Organization Active NPI

Blooming Tree Therapy, LLC

  • Speech-Language Pathologist
  • Brookland, AR
National Provider Identifier
1548639883
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BLOOMING TREE THERAPY, LLC
Practice address
115 Cherry St
Brookland, AR 72417-8839
Phone
(870) 336-2778
Fax
(870) 336-9055
NPI assigned
Sep 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Authorized official

Name
Lona M MilesNPI 1679920524
Title
Owner/Administrator
Phone
(870) 819-1666

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

115 Cherry St
Brookland, AR 72417-8839

Mailing address

115 Cherry St
Brookland, AR 72417-8839
Phone (870) 336-2778

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1548639883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CHERRY ST",
            "city": "BROOKLAND",
            "state": "AR",
            "postal_code": "724178839",
            "telephone_number": "870-336-2778",
            "fax_number": "870-336-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHERRY ST",
            "city": "BROOKLAND",
            "state": "AR",
            "postal_code": "724178839",
            "telephone_number": "870-336-2778",
            "fax_number": "870-336-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING TREE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "LONA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "870-819-1666"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookland, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.