Kids Spot Llc is a medicare enrolled "Clinic/center - Physical Therapy" provider in Springdale, Arkansas. Their current practice location is
724 Deaver St, Springdale, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(479) 259-2339.
Kids Spot Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Kids Spot Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174845358.
Healthcare Provider's Profile
| Full Name | Kids Spot Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 724 Deaver St, Springdale, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174845358
- Provider Enumeration Date: 02/16/2010
- Last Update Date: 03/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991171589
- Enrollment ID: O20221024001005
Medical Identifiers
Medical identifiers for Kids Spot Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174845358 | NPI | - | NPPES |
| 180643742 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | SP#1904 (Arkansas) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kids Spot Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kids Spot Llc
724 Deaver St,
Springdale, AR 72764-5356
Ph: (479) 259-2339 | Kids Spot Llc
724 Deaver St,
Springdale, AR 72764-5356
Ph: (479) 259-2339 |
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