Organization Active NPI

Kidspiration of Marion County

  • Primary Care Clinic/Center
  • Yellville, AR
National Provider Identifier
1700430386
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KIDSPIRATION OF MARION COUNTY
Practice address
81 Development Dr
Yellville, AR 72687-0662
Phone
(870) 449-7050
Fax
(870) 424-4112
NPI assigned
Jul 31, 2019
Organization subpart
Yes
Parent organization
KIDSPIRATION PEDIATRIC THERPAY SERIVCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Leah Coleman, DT, ECDS
Title
Owner/Director
Phone
(870) 424-4021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

81 Development Dr
Yellville, AR 72687-0662

Mailing address

PO Box 662
Yellville, AR 72687-0662
Phone (870) 449-7050

National Provider Directory

National Provider Directory
Part of
Kidspiration Pediatric Therapy Services

Practitioners & affiliated clinicians

Practitioners 3

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": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1700430386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726870662",
            "telephone_number": "870-449-7050",
            "fax_number": "870-424-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 DEVELOPMENT DR",
            "city": "YELLVILLE",
            "state": "AR",
            "postal_code": "726870662",
            "telephone_number": "870-449-7050",
            "fax_number": "870-424-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPIRATION OF MARION COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDSPIRATION PEDIATRIC THERPAY SERIVC",
        "enumeration_date": "2019-07-31",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "870-424-4021",
        "authorized_official_credential": "DT, ECDS"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.