Thera-play Pediatric Services - Speech-Language Pathologist in Fayetteville, AR

Thera-play Pediatric Services is a Speech-language Pathologist based in Fayetteville, Arkansas. Thera-play Pediatric Services is licensed to practice in * (Not Available) (license number ) and their current practice location is 3801 Main Dr Ste B, Fayetteville, Arkansas. It can be reached at their office (for appointments etc.) via phone at (479) 856-6400.

NPI number for Thera-play Pediatric Services is 1104165307 and their current mailing address is 3801 Main Dr Ste B, Fayetteville, Arkansas. Thera-play Pediatric Services does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104165307.

Contact Information

Thera-play Pediatric Services
3801 Main Dr Ste B,
Fayetteville, AR 72704-6364
(479) 856-6400
(479) 856-6623



Healthcare Provider's Profile

Full NameThera-play Pediatric Services
TypeFacility
SpecialitySpeech-language Pathologist
Location3801 Main Dr Ste B, Fayetteville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104165307
  • Provider Enumeration Date: 02/07/2013
  • Last Update Date: 02/07/2013

Medical Identifiers

Medical identifiers for Thera-play Pediatric Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104165307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Primary

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. Thera-play Pediatric Services is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thera-play Pediatric Services
3801 Main Dr Ste B,
Fayetteville, AR 72704-6364

Ph: (479) 856-6400
Thera-play Pediatric Services
3801 Main Dr Ste B,
Fayetteville, AR 72704-6364

Ph: (479) 856-6400

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› Verified 2 days ago


Speech-Language Pathologist in Fayetteville, AR

Micah Joel Smith,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Johnson Mill Blvd # Ab, Fayetteville, AR 72704
Phone: 479-790-0684    
Ashley Elizabeth Nixon, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2846 N Garland Ave, Fayetteville, AR 72704
Phone: 855-324-0885    Fax: 317-520-8200
Mrs. Carmen Shumpert, M.S.,CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2474 E Joyce Blvd, Ste 2, Fayetteville, AR 72703
Phone: 479-521-8326    
Mrs. Sarah Matousek, MS CCC SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 125 W Sunbridge Dr, Fayetteville, AR 72703
Phone: 479-587-9201    Fax: 479-527-9439
Jeana Beth Scott, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 16 W Colt Square Dr, Fayetteville, AR 72703
Phone: 479-587-9201    Fax: 479-527-9439
Tara Phillips,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2758 E Millennium Pl, Fayetteville, AR 72703
Phone: 479-283-4637    
Derek Winkle,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 4155 N Steele Blvd Ste 80, Fayetteville, AR 72703
Phone: 479-422-9404    

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