Imagine Pediatric Therapies

LBN: Imagine Occupational Therapy Services
Imagine Pediatric Therapies is an health care organization with primary practice located at 1601 Greenhouse Rd. , Bentonville AR 72712-9292. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is the primary health care specialty. Imagine Occupational Therapy Services can be contacted via phone (479) 795-1260, or through Richison, Tabitha Dawn via phone (479) 795-1260.

Contact Information

Primary practice address
1601 Greenhouse Rd. Bentonville AR 72712-9292
Fax: (479) 795-1261
Website:
Authorized official contact:
Name: Richison, Tabitha Dawn Registered Occupational Therapist (OTR)

Profile Details

NPI number 1124241120
LBN Legal business name Imagine Occupational Therapy Services
DBA Doing business as Imagine Pediatric Therapies
Authorized official Richison, Tabitha Dawn Registered Occupational Therapist (OTR)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 24th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124241120 NPPES
Arkansas MEDICAID 162908742
Arkansas Other 5F709

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