Organization Active NPI

Kidspot Plus

  • Physical Therapist
  • Blytheville, AR
National Provider Identifier
1659842938
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KIDSPOT PLUS
Practice address
1510 Byrum Rd
Blytheville, AR 72315-8033
Phone
(870) 824-6686
Fax
(870) 824-6688
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Authorized official

Name
Gina Renea Deuter
Title
Ceo
Phone
(870) 974-9114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1510 Byrum Rd
Blytheville, AR 72315-8033

Mailing address

1801 Grant Ave
Jonesboro, AR 72401-6155
Phone (870) 974-9114

National Provider Directory

National Provider Directory
Tax ID family
Kidspot Plus3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1510 Byrum Rd
Blytheville, AR 72315
Phone (870) 532-2600

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1659842938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9114",
            "fax_number": "870-974-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BYRUM RD",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723158033",
            "telephone_number": "870-824-6686",
            "fax_number": "870-824-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPOT PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "DEUTER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-974-9114"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.