BKD Holding Company LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BKD HOLDING COMPANY LLC

Doing business as

TheraTeam Co

Practice address

22461 Interstate 30 S Ste 301
Bryant, AR 72022-2382

Phone

(501) 847-2555

Fax

(501) 847-2250

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Benjamin Davidson

Title

Owner

Phone

(501) 847-2555

Specialties & licenses 2

Addresses

Other names 1

• TheraTeam Co Doing business as

Locations

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1922681261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22461 INTERSTATE 30 S STE 301",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222382",
            "telephone_number": "501-847-2555",
            "fax_number": "501-847-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22461 INTERSTATE 30 S STE 301",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222382",
            "telephone_number": "501-847-2555",
            "fax_number": "501-847-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD HOLDING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-847-2555"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraTeam Co",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TheraTeam Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Bryant, AR
• Providers in Bryant, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.