Active NPI
Kiddos Therapy
- Rehabilitation Clinic/Center
- Fort Smith, AR
National Provider Identifier
1568959179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- KIDDOS THERAPY
- Practice address
- 7411 Ellis St Ste 200
Fort Smith, AR 72916-6106 - Phone
- (479) 242-3414
- Fax
- (479) 242-3415
- NPI assigned
- Apr 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodi Cabaness, PT
- Title
- Owner/Director
- Phone
- (479) 970-8351
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
7411 Ellis St Ste 200
Fort Smith, AR 72916-6106
Mailing address
7411 Ellis St Ste 200
Fort Smith, AR 72916-6106
Phone (479) 242-3414
Other practice location 1
1791 Highway 59
Barling, AR 72923-2087
Phone (479) 970-8351
National Provider Directory
National Provider DirectoryLocations
7411 Ellis St
Ste 200
Fort Smith, AR 72916
Phone (479) 242-3414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1568959179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 ELLIS ST STE 200",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729166106",
"telephone_number": "479-242-3414",
"fax_number": "479-242-3415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7411 ELLIS ST STE 200",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729166106",
"telephone_number": "479-242-3414",
"fax_number": "479-242-3415"
}
],
"practiceLocations": [
{
"address_1": "1791 Highway 59",
"address_purpose": "LOCATION",
"city": "Barling",
"state": "AR",
"postal_code": "729232087",
"country_code": "US",
"telephone_number": "479-970-8351",
"fax_number": "479-242-3415",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIDDOS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-18",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "CABANESS",
"authorized_official_first_name": "JODI",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "479-970-8351",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.