SPEER PEDIATRIC THERAPY, PLLC (NPI# 1285983148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285983148 |
Entity Type | Organization |
Organization Name | SPEER PEDIATRIC THERAPY, PLLC |
Practice Address |
2729 East Nettleton Suite D Jonesboro AR 72401 |
Mailing Address |
2729 E Nettleton Ave Ste B Jonesboro AR 72401-4545 |
Practice Telephone | 8702756438 |
Practice Fax Number | 8702756439 |
Enumeration Date | 2012-09-06 |
Last Update Date | 2015-06-12 |
Authorized Official Name | MRS. WENDI SPEER (OWNER) |
Authorized Official Telephone | 8702756438 |
Authorized Official Credential | MPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 235Z00000X | Speech-Language Pathologist | SP#2878 | AR | Speech, Language and Hearing Service Providers |
N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OTR1928 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT3045 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 192929742 | 05 |
Street Address |
2729 EAST NETTLETON SUITE D |
City | JONESBORO |
State | AR |
Zip Code | 72401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
Find all providers in zip 72401 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801442793 | Ashlyn Thalmann | Physical Therapist | 1699 Red Wolf Blvd, Jonesboro, AR 72401-5442 | 2019-08-15 |
1770061038 | Bloom of Jonesboro, LLC | Physical Therapist | 1007 Windover Rd Ste A, Jonesboro, AR 72401-6009 | 2018-07-30 |
1174076012 | Madison Felts | Physical Therapist | 1801 Grant Ave, Apartment T-1, Jonesboro, AR 72401-6155 | 2016-07-27 |
1437547445 | Arkansas Kids In Motion | Physical Therapist | 2104 Trinity Oaks Dr, Jonesboro, AR 72401-3662 | 2014-12-27 |
1174922363 | Allison Tate | Physical Therapist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2014-08-14 |
1679700041 | Lindsay Claire Williamson | Physical Therapist | 3423 E Highland Dr, Suite A &b, Jonesboro, AR 72401-6404 | 2009-06-12 |
1104078278 | Amy Elizabeth Ford | Physical Therapist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2008-10-21 |
1780862839 | Wendi Michelle Rowland | Physical Therapist | 3423 E Highland Dr, Suite A & B, Jonesboro, AR 72401-6404 | 2008-01-31 |
1114116878 | Carolyn Moody Physical Therapy Co. | Physical Therapist | 217 E Cherry Ave, Jonesboro, AR 72401-3372 | 2007-10-18 |
1396897930 | Craine Therapy, Ltd | Physical Therapist | 3423 E Highland Dr, Suite A& B, Jonesboro, AR 72401-6404 | 2007-01-16 |
Find all providers in JONESBORO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.