MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD (NPI# 1316405665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316405665 |
| Entity Type | Organization |
| Organization Name | MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD |
| Practice Address |
1910 Rector Rd Paragould AR 72450-2004 |
| Mailing Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Mailing Fax Number | 8709323611 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | MRS. SHELLY KELLER (CEO) |
| Authorized Official Telephone | 8707616680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750849006 | Miracle Kids Success Academy of Paragould | Clinic/Center | 1910 Rector Rd, Paragould, AR 72450-2004 | 2019-03-06 |
| Street Address |
1910 RECTOR RD |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174678106 | Kelly Lynn Kasserman | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2007-01-23 |
| 1750849006 | Miracle Kids Success Academy of Paragould | Clinic/Center | 1910 Rector Rd, Paragould, AR 72450-2004 | 2019-03-06 |
| 1093291551 | Tiffany L Kirby | Registered Nurse | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-07-17 |
| 1629562186 | Shaclara C Weaver | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-06-19 |
| 1154815744 | Jessica G Russom | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-06-18 |
| 1851880884 | Jeia R Cowell | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-05-04 |
| 1033607627 | Sarah E Small | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-04-29 |
| 1669975538 | Brook A Zepecki | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-03-16 |
| 1639681810 | Holley A Estes | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2017-10-28 |
| 1760908834 | Crystal L Andrew | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2017-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073935821 | Emily Johnson | Physical Therapist | 1806 Fairway Ln, Paragould, AR 72450-9698 | 2014-01-14 |
| 1760819023 | Jason Andrew Hoskins | Physical Therapist | 3103 Purcell Rd, Paragould, AR 72450-8734 | 2013-10-02 |
| 1780969477 | Paragould Therapies, Plc | Physical Therapist | 293 Greene 606, Paragould, AR 72450-9785 | 2011-10-13 |
| 1447465190 | Nancy Elizabeth Dwiggins | Physical Therapist | 2 Hill Home Drive, Paragould, AR 72450 | 2007-05-14 |
| 1174678106 | Kelly Lynn Kasserman | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2007-01-23 |
| 1003871435 | Natasha Lee Bailey | Physical Therapist | 900 West Kingshighway, Paragould, AR 72450 | 2006-04-19 |
| 1568017457 | Kelly Sellers | Physical Therapist | 146 Linwood Dr, Paragould, AR 72450-4077 | 2019-08-07 |
| 1639641293 | Clear Passage Therapies Inc | Physical Therapist | 1905 Linwood Dr Ste 2, Paragould, AR 72450-6235 | 2018-12-20 |
| 1760908834 | Crystal L Andrew | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2017-08-20 |
| 1659784957 | Duston Seth Jones | Physical Therapist | 4700 W Kingshighway, Paragould, AR 72450-3465 | 2014-06-04 |
| Find all providers in PARAGOULD | ||||
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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.