NPIMap

Organization Active NPI

Kidspiration Pediatric Therapy Services

  • Primary Care Clinic/Center
  • Mountain Home, AR
National Provider Identifier
1891259321
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KIDSPIRATION PEDIATRIC THERAPY SERVICES
Practice address
710 Bradley Dr.
Mountain Home, AR 72653
Phone
(870) 424-4021
Fax
(870) 424-4112
NPI assigned
Jan 29, 2019
Organization subpart
Yes
Parent organization
KIDSPIRATION PEDIATRIC THERAPY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Leah Coleman
Title
Owner/Director
Phone
(870) 424-4021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

710 Bradley Dr.
Mountain Home, AR 72653

Mailing address

P.O. Box 2533
Mountain Home, AR 72653
Phone (870) 424-4021

Other identifiers 1

IdentifierTypeStateIssuer
187775724MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Kidspiration Pediatric Therapy Services4 organizations share this tax ID, including this one
Part of
Kidspiration Pediatric Therapy Services

Other organizations with this tax ID 3

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

Locations

710 Bradley Dr
Mountain Home, AR 72653
Phone (870) 424-4021

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1891259321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2533",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-424-4021",
            "fax_number": "870-424-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BRADLEY DR.",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-424-4021",
            "fax_number": "870-424-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPIRATION PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDSPIRATION PEDIATRIC THERAPY SERVICES",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "870-424-4021"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187775724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.