STAR THERAPY, P.A. (NPI# 1467670372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467670372 |
| Entity Type | Organization |
| Organization Name | STAR THERAPY, P.A. |
| Practice Address |
909 W Main St Green Forest AR 72638-2316 |
| Mailing Address |
161 County Road 9951 Green Forest AR 72638-4022 |
| Practice Telephone | 8704239246 |
| Practice Fax Number | 8774254393 |
| Mailing Telephone | 8704239246 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | JENNIFER CAROL FRY (SPEECH PATHOLOGIST) |
| Authorized Official Telephone | 8705532284 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 613 | AR | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 119425721 | 05 | |
| AR | 129993742 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 706 S Main St, Berryville, AR 726164333 | 8704239246 |
| Street Address |
909 W MAIN ST |
| City | GREEN FOREST |
| State | AR |
| Zip Code | 72638-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134687148 | Patricia Ann Hurst | Physical Therapist | 909 W Main St, Green Forest, AR 72638 | 2019-03-08 |
| 1194932848 | Jennifer Carol Fry | Speech-Language Pathologist | 909 W Main St, Green Forest, AR 72638-2316 | 2007-05-16 |
| 1174681910 | Ozarks Occupational Therapy Inc | Occupational Therapist | 909 W Main St, Green Forest, AR 72638-2316 | 2006-12-05 |
| 1154489995 | Leah Carol Motzko | Occupational Therapist | 909 W Main St, Green Forest, AR 72638-2316 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961450 | Mitzi Ann Heithaus | Speech-Language Pathologist | 400 East 10th Street, Green Forest, AR 72638-0000 | 2011-06-30 |
| 1720029523 | Paula Ann Stapleton | Social Worker | 1103 West Main Street, Green Forest, AR 72638-0639 | 2006-06-10 |
| 1669867503 | Abigail Anne Peerce | Nurse Practitioner | 1103 West Main Street, Green Forest, AR 72638-0639 | 2015-03-30 |
| 1144438615 | Green Forest Schools | Local Education Agency (LEA) | 805 Phillips Avenue, Green Forest, AR 72638-1950 | 2007-05-18 |
| 1689221707 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1103 W Main St, Green Forest, AR 72638-2311 | 2019-08-22 |
| 1104148766 | Pam Page | Occupational Therapist | 516 Cottonwood Ln, Green Forest, AR 72638-2360 | 2010-02-24 |
| 1104117878 | Harps Food Stores, Inc | Pharmacy | 703 W Main, Green Forest, AR 72638-2432 | 2011-04-28 |
| 1568569309 | Barrett Rx Inc | Pharmacy | 309 E Main St, Green Forest, AR 72638-2432 | 2006-09-20 |
| 1245874015 | Emily Leah Richter | Speech-Language Pathologist | 401 Tulip Ct, Green Forest, AR 72638-2465 | 2019-11-04 |
| 1275547887 | Roland Niles Rains | Dentist | 200 White Ave, Green Forest, AR 72638-2525 | 2006-07-28 |
| Find all providers in zip 72638 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245874015 | Emily Leah Richter | Speech-Language Pathologist | 401 Tulip Ct, Green Forest, AR 72638-2465 | 2019-11-04 |
| 1689961450 | Mitzi Ann Heithaus | Speech-Language Pathologist | 400 East 10th Street, Green Forest, AR 72638-0000 | 2011-06-30 |
| 1194932848 | Jennifer Carol Fry | Speech-Language Pathologist | 909 W Main St, Green Forest, AR 72638-2316 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768429 | Taylor Weston | Speech-Language Pathologist | 13 Bobwith Ln, Bella Vista, AR 72714-3903 | 2020-10-21 |
| 1508464454 | Caitlin Ketcher | Speech-Language Pathologist | 2 Country Club Cir, Maumelle, AR 72113-6578 | 2020-10-13 |
| 1487252706 | Janice H Mccullough | Speech-Language Pathologist | 2721 Highland Cir, Rogers, AR 72756-3113 | 2020-10-09 |
| 1447857768 | Susan Davis Phillips | Speech-Language Pathologist | 519 Latham Dr Fl 2, Lowell, AR 72745-8360 | 2020-10-08 |
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1922619626 | Kadee Cash | Speech-Language Pathologist | 6570 Highway 63, Rison, AR 71665-8827 | 2020-08-14 |
| 1801407846 | Allison Walker Griffin | Speech-Language Pathologist | 601 S Martin Luther King Jr Blvd, El Dorado, AR 71730-7173 | 2020-08-13 |
| 1215548623 | Jasmine Nicole Nile | Speech-Language Pathologist | 106 S Duncan Ave, Fayetteville, AR 72701-5631 | 2020-08-11 |
| 1740891035 | Kaitlin Tate Hill | Speech-Language Pathologist | 21 Mattie Lene Dr, Ward, AR 72176-8752 | 2020-08-11 |
| 1477163871 | Bailey Kennedy | Speech-Language Pathologist | 1008 E Oak St, Conway, AR 72032-4726 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | GREEN FOREST |
| Zip Code | 72638 |
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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.