NPIMap

Organization Active NPI

Hometown Pediatric Therapy Services

  • Clinic/Center
  • Charleston, AR
National Provider Identifier
1841916707
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOMETOWN PEDIATRIC THERAPY SERVICES
Practice address
1811 E Main St
Charleston, AR 72933-9254
Phone
(479) 275-9150
Fax
(479) 662-4766
NPI assigned
Oct 12, 2022
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Michael Derek Law, OTR/LNPI 1417989047
Title
Owner
Phone
(479) 275-9150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1811 E Main St
Charleston, AR 72933-9254

Mailing address

PO Box 332
Charleston, AR 72933-0332
Phone (479) 275-9150

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1841916707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729330332",
            "telephone_number": "479-275-9150",
            "fax_number": "479-662-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E MAIN ST",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729339254",
            "telephone_number": "479-275-9150",
            "fax_number": "479-662-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-275-9150",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.