NPIMap

Organization Active NPI

Horse-Play Pediatrics

  • Developmental Disabilities Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1619337904
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
PT3719 Issued in AR
Legal business name
HORSE-PLAY PEDIATRICS
Practice address
3801 Johnson Mill Blvd Ste B
Fayetteville, AR 72704-6364
Phone
(479) 856-6400
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Emily Roberts
Title
Owner
Phone
(479) 856-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X PT3719 AR Primary

Addresses

Primary practice location

3801 Johnson Mill Blvd Ste B
Fayetteville, AR 72704-6364

Mailing address

3801 Johnson Mill Blvd Ste B
Fayetteville, AR 72704-6364
Phone (479) 856-6400

Other identifiers 1

IdentifierTypeStateIssuer
PT3719OtherARARKANSAS STATE BOARD OF PHYSICAL THERAPY

National Provider Directory

National Provider Directory

Locations

3801 Johnson Mill Blvd
Ste B
Fayetteville, AR 72704
Phone (479) 295-3320

Practitioners & affiliated clinicians

Practitioners 8

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1619337904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 JOHNSON MILL BLVD STE B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046364",
            "telephone_number": "479-856-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 JOHNSON MILL BLVD STE B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046364",
            "telephone_number": "479-856-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSE-PLAY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-856-6400"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AR",
            "license": "PT3719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "PT3719",
            "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 Feb 29, 2016; 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.