Provider Type Icon

THERA-PLAY PEDIATRIC SERVICES NPI 1104165307


NPI Information

NPI: 1104165307
Provider Name: THERA-PLAY PEDIATRIC SERVICES
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
3801 MAIN DR STE B
FAYETTEVILLE, AR
ZIP 72704
Phone: (479) 856-6400
Get Directions

THERA-PLAY PEDIATRIC SERVICES is a speech language pathologist in Fayetteville, AR. The provider is 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. THERA-PLAY PEDIATRIC SERVICES NPI is 1104165307. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3801 MAIN DR STE B
FAYETTEVILLE, AR
ZIP 72704-364
Phone: (479) 856-6400
Fax: (479) 856-6623

The provider's authorized official is Erin Oliver .
The authorized official title is Owner and has the following contact phone number (479) 856-6400.

The enumeration date for this NPI number is 2/7/2013 and was last updated on 2/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2225X00000XOccupational TherapistNo
3235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.