Horse-Play Outdoor Center, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HORSE-PLAY OUTDOOR CENTER, INC

Practice address

902 Grant Ave
Prairie Grove, AR 72753-8417

Phone

(479) 283-7899

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Sara Ruckenbrod, DPTNPI 1356774970

Title

Executive Director

Phone

(479) 283-7899

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Ruckenbrod, DPT

  • Pediatric Physical Therapist
  • Fayetteville, AR
  • NPI 1356774970
  NPD Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1982161402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 GRANT AVE",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727538417",
            "telephone_number": "479-283-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 GRANT AVE",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727538417",
            "telephone_number": "479-283-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSE-PLAY OUTDOOR CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "RUCKENBROD",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-283-7899",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dunn, D.O.
• Trenton Colby Dunn, PHARM.D.
• Dynamic Physical Therapy and Performance
• Abigail Ellis, NP
• Matthew Thomas Feldner, PH.D.
• Tracy Houston, ATC
• Angie Hunton, MNSC, RNC OB
• Jennifer Bingham MD PLLC
• Kristin Leigh Jeremiah, BSN,RN
• John Pardo, DDS , PLLC

• Pediatrics Physician in Prairie Grove, AR
• Providers in Prairie Grove, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.