Organization Active NPI

Kiddos Therapy

  • Rehabilitation Clinic/Center
  • Fort Smith, AR
National Provider Identifier
1568959179
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
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

Updated by the provider on Jun 20, 2024

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.