NPIMap

Organization Active NPI

Arkansas Pediatric Therapy

  • Behavior Analyst
  • Van Buren, AR
National Provider Identifier
1871348466
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
ARKANSAS PEDIATRIC THERAPY
Practice address
115 Pointer TRL W
Van Buren, AR 72956-2236
Phone
(479) 471-1290
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS PEDIATRIC THERAPY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Debbie Moore
Title
Office Manager
Phone
(479) 471-1290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

115 Pointer TRL W
Van Buren, AR 72956-2236

Mailing address

115 Pointer TRL W
Van Buren, AR 72956-2236
Phone (479) 471-1290

Other identifiers 1

IdentifierTypeStateIssuer
313413790MedicaidAR

National Provider Directory

National Provider Directory
Part of
Arkansas Pediatric Therapy

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1871348466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562236",
            "telephone_number": "479-471-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562236",
            "telephone_number": "479-471-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PEDIATRIC THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS PEDIATRIC THERAPY  SERVICES",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-471-1290"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313413790",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.