NPIMap

Organization Active NPI

Pro-Kids Therapy, LLC

  • Speech-Language Pathologist
  • Little Rock, AR
National Provider Identifier
1710137500
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1750 Issued in AR
Legal business name
PRO-KIDS THERAPY, LLC
Practice address
10515 W Markham St
Suite I-3
Little Rock, AR 72205-2139
Phone
(501) 823-0578
Fax
(501) 823-0579
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Mr. Curtis Edwin Chatham, MCD, CCC-SLP
Title
Owner
Phone
(501) 823-0578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP1750 AR Primary

Addresses

Primary practice location

10515 W Markham St
Suite I-3
Little Rock, AR 72205-2139

Mailing address

10515 W Markham St
Suite I-3
Little Rock, AR 72205-2139
Phone (501) 823-0578

National Provider Directory

National Provider Directory

Locations

10515 W Markham St
Ste H10
Little Rock, AR 72205
Phone (501) 547-8181

Practitioners & affiliated clinicians

Practitioners 5

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": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1710137500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST",
            "address_2": "SUITE I-3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052139",
            "telephone_number": "501-823-0578",
            "fax_number": "501-823-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST",
            "address_2": "SUITE I-3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052139",
            "telephone_number": "501-823-0578",
            "fax_number": "501-823-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-KIDS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "CHATHAM",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-823-0578",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.