Jennifer Kristin Kloster

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3304 Issued in AR

Practice address

210 N Walton Blvd Ste 30U
Bentonville, AR 72712-4930

Phone

(479) 351-0713

Fax

(479) 391-5269

NPI assigned

Aug 1, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiance Pediatric Therapy, LLC

  • Pediatric Occupational Therapist
  • Bentonville, AR
  • NPI 1295545721

  Multi-Specialty

  NPD (past) Authorized official
• Regional Therapy Services, Inc.

  • Speech-Language Pathologist
  • Rogers, AR
  • NPI 1356313340

  Multi-Specialty

  NPD (past)
• Regional Therapy Services, Inc.

  • Counselor
  • Rogers, AR
  • NPI 1437716701

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1770137200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727120295",
            "telephone_number": "479-282-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WALTON BLVD STE 30U",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124930",
            "telephone_number": "479-351-0713",
            "fax_number": "479-391-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTER",
        "first_name": "JENNIFER",
        "middle_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Joy King, PA-C
• Sydney Kinser
• Sandra Kinsey, PD
• Timothy W Kirby
• Stephanie Klonowski
• KMJ Enterprises Bentonville Manor LLC
• Elizabeth Knapp, MHPP
• Justin J Knapp, MHPP
• Jadarius Knight
• Jenny Knight, PHARM D

• Pediatric Occupational Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.