NPIMap

Organization Active NPI

Children'S Therapy Services, Inc.

  • Developmental Therapist
  • Fayetteville, AR
National Provider Identifier
1598021552
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
PT2309 Issued in AR
Legal business name
CHILDREN'S THERAPY SERVICES, INC.
Practice address
2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932
Phone
(479) 521-8326
Fax
(479) 521-5439
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Kym Hannah
Title
Owner
Phone
(479) 521-8326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X PT2309 AR Primary

Addresses

Primary practice location

2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932

Mailing address

2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932
Phone (479) 521-8326

Other identifiers 1

IdentifierTypeStateIssuer
148019742MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Children'S Therapy Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1598021552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034932",
            "telephone_number": "479-521-8326",
            "fax_number": "479-521-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034932",
            "telephone_number": "479-521-8326",
            "fax_number": "479-521-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "KYM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-521-8326"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": "AR",
            "license": "PT2309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148019742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 4, 2012; 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.