NORTHWEST ARKANSAS PEDIATRIC THERAPY SERVICES, INC (NPI# 1447472865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447472865 |
| Entity Type | Organization |
| Organization Name | NORTHWEST ARKANSAS PEDIATRIC THERAPY SERVICES, INC |
| Practice Address |
827 West Slack Street Pea Ridge AR 72751-3703 |
| Mailing Address |
Po Box 585 Pea Ridge AR 72751-0585 |
| Practice Telephone | 4794519434 |
| Practice Fax Number | 4794886220 |
| Mailing Telephone | 4794519434 |
| Mailing Fax Number | 4794886220 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-07-30 |
| Authorized Official Name | MRS. SHELIA D WILKERSON (PRESIDENT) |
| Authorized Official Telephone | 4794519434 |
| Authorized Official Credential | MS,PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT1625 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 136029742 | 05 | |
| AR | INSURANCE | 5C140 | 01 |
| AR | 142245716 | 05 |
| Street Address |
827 WEST SLACK STREET |
| City | PEA RIDGE |
| State | AR |
| Zip Code | 72751-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609918911 | Shelia Diana Wilkerson | Physical Therapist | 827 West Slack Street, Pea Ridge, AR 72751-3703 | 2007-02-13 |
| 1518273580 | Hope Dunseath | Licensed Practical Nurse | 827 West Slack Street, Pea Ridge, AR 72751 | 2010-08-27 |
| 1609182674 | Rachel Carlton | Licensed Practical Nurse | 827 West Slack Street, Pea Ridge, AR 72751 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099073 | St Francis House Nwa, Inc | Clinic/Center | 1923 W Pickens Road, Pea Ridge, AR 72751 | 2020-07-01 |
| 1780878553 | Hands-on Chiropractic Inc | Chiropractor | 522 N Curtis Avenue, Pea Ridge, AR 72751 | 2007-09-05 |
| 1740271014 | Matthew Bradley Jennings | Family Medicine | 200 Carr Street, Pea Ridge, AR 72751 | 2005-11-04 |
| 1770588451 | Delilah Mae Parker | Chiropractor | 522 N. Curtis Avenue, Pea Ridge, AR 72751 | 2005-06-17 |
| 1942711544 | Whitney Layne Franklin | Nurse Practitioner | 200 Carr Street, Pea Ridge, AR 72751 | 2017-10-23 |
| 1407875461 | City of Pea Ridge | Ambulance | 293 South Curtis Ave, Pea Ridge, AR 72751-0010 | 2006-07-19 |
| 1013067065 | Pea Ridge School District | Local Education Agency (LEA) | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2007-01-11 |
| 1699223644 | Patrick Thompson | Speech-Language Pathologist | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2016-09-20 |
| 1386891307 | Amanda Mychale Coco | Speech-Language Pathologist | 781 W Pickens Rd, Pea Ridge, AR 72751-2519 | 2008-08-20 |
| 1417437385 | Melissa Kucyk | Speech-Language Pathologist | 979 Weston St, Pea Ridge, AR 72751-2628 | 2018-08-20 |
| Find all providers in zip 72751 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
| 1891152435 | Tamara Fowler | Physical Therapist | 8319 Geyer Springs Rd, Little Rock, AR 72209-4945 | 2016-01-27 |
| 1285001487 | Jennifer Lynne Hallam | Physical Therapist | 1100 Division St Ste 3, Prairie Grove, AR 72753-5501 | 2015-08-24 |
| 1780069476 | Edith Areli Molina Amaya | Physical Therapist | 2819 W Hillshire Dr, Fayetteville, AR 72704-5137 | 2015-07-23 |
| 1740683044 | Jeremy Riddle | Physical Therapist | 4 Downwind Ave, Greenbrier, AR 72058-9815 | 2014-09-30 |
| 1730470998 | Stefanie Hines Schumacher | Physical Therapist | 48 Colt Square, Fayetteville, AR 72703-2813 | 2011-04-22 |
| 1497088918 | Shawna Walter | Physical Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2009-09-16 |
| 1316199540 | Nancy Renee George | Physical Therapist | 2571 Indian Oaks Trl, Springdale, AR 72762-2592 | 2008-10-21 |
| 1396900676 | Jolynn Pickens | Physical Therapist | 7312 Geronimo Cir, North Little Rock, AR 72116-4363 | 2008-07-25 |
| 1245491224 | The Therapy Spot,llc | Physical Therapist | 3130 Market St., Fayetteville, AR 72703-7519 | 2008-06-22 |
| Find all providers with the same taxonomy | ||||
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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.