Active NPI
Innovative Therapy Services
- Physical Therapist
- Springdale, AR
National Provider Identifier
1962447524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- INNOVATIVE THERAPY SERVICES
- Practice address
- 3901 Kelley Ave
Springdale, AR 72762-4935 - Phone
- (479) 756-8411
- NPI assigned
- Jun 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- B W Dykes
- Title
- Owner
- Phone
- (479) 756-8411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3901 Kelley Ave
Springdale, AR 72762-4935
Mailing address
3901 Kelley Ave
Springdale, AR 72762-4935
Phone (479) 756-8411
National Provider Directory
National Provider DirectoryLocations
3901 Kelley Ave
Springdale, AR 72762
Phone (479) 756-8411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962447524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 KELLEY AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624935",
"telephone_number": "479-756-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 KELLEY AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727624935",
"telephone_number": "479-756-8411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DYKES",
"authorized_official_first_name": "B",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-756-8411"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.