Kidspot Walnut Ridge

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KIDSPOT WALNUT RIDGE

Practice address

321 SW 3Rd St
Walnut Ridge, AR 72476-2308

Phone

(870) 637-5903

Fax

(870) 637-5908

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Christy House

Title

Billing Coordinator

Phone

(870) 974-9114

Specialties & licenses 1

Addresses

Tax ID family

Kidspot Walnut Ridge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kidspot Walnut Ridge

  • Speech-Language Pathologist
  • Walnut Ridge, AR
  • NPI 1679128300
  NPD tax ID

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1740835487",
    "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": "321 SW 3RD ST",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "724762308",
            "telephone_number": "870-637-5903",
            "fax_number": "870-637-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPOT WALNUT RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "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": []
}

• Kelly G Ross OD PA
• Danny Handford Kent, D.C.
• Kids and Company, LLC
• Kidspot Learning Center
• Kidspot Walnut Ridge
• Kidspot Walnut Ridge2
• Meaghan Danielle Kingston, APRN
• Teddy S Lancaster, M.D.
• Lawrence County Chiropractic Clinic, Inc.
• Lawrence County Family Clinic, PA

• All providers in Walnut Ridge, AR
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.