NPIMap

Organization Active NPI

Courageous Kids, LLC

  • Physical Therapy Clinic/Center
  • Arlington, TN
National Provider Identifier
1952837288
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0000009799 Issued in TN
Legal business name
COURAGEOUS KIDS, LLC
Practice address
9263 Osborn Rd
Arlington, TN 38002-5922
Phone
(901) 496-1057
NPI assigned
May 5, 2017
Last updated
May 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
Dr. Heather Lauren Jackson, PT, DPTNPI 1487194445
Title
Founder
Phone
(901) 496-1057

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0000009799 TN Primary

Addresses

Primary practice location

9263 Osborn Rd
Arlington, TN 38002-5922

Mailing address

9263 Osborn Rd
Arlington, TN 38002-5922
Phone (901) 496-1057

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1952837288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9263 OSBORN RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025922",
            "telephone_number": "901-496-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9263 OSBORN RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380025922",
            "telephone_number": "901-496-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "901-496-1057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "0000009799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.