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MIRACLE KIDS SUCCESS ACADEMY CENTRAL
NPI 1225739048
Clinic/Center - Rehabilitation in Jonesboro, AR

Active since March 17, 2023
1607 STONE ST, JONESBORO, AR 72401(870) 336-4100 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miracle Kids Success Academy Central NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE KIDS SUCCESS ACADEMY CENTRAL (NPI 1225739048) is a healthcare organization registered as a rehabilitation in Jonesboro, Arkansas and active in the NPI registry since March 2023. The organization lists Shelly A Keller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225739048
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameMIRACLE KIDS SUCCESS ACADEMY CENTRAL
Location Address1607 STONE STJonesboro, AR 72401-5332
Mailing Address3127 Southwest Dr Ste AJonesboro, AR 72404-8404 · (870) 336-8100
Phone(870) 336-4100
Organization SubpartYesParent: Miracle Kids Success Academy, Inc.
Authorized OfficialShelly A KellerCeo · (870) 761-6680
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1225739048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
1607 STONE ST, Jonesboro, AR 72401
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA BROWN M.C.D, SLP
Speech-Language Pathologist
1607 STONE ST
JONESBORO, AR 72401
Craighead County (870) 932-5561
MR. JEREMY RYAN HART COTA/L
Occupational Therapist
1607 STONE ST
JONESBORO, AR 72401
Craighead County (870) 932-5551
MRS. AMBER DAWN SMYLY
Occupational Therapy Assistant
1607 STONE ST
JONESBORO, AR 72401
Craighead County (870) 932-5551
EMILY SARAH SISCO
Occupational Therapy Assistant
1607 STONE ST
JONESBORO, AR 72401
Craighead County (870) 932-5551
LINDSAY SCOTT COTA/L
Occupational Therapy Assistant
1607 STONE ST
JONESBORO, AR 72401
Craighead County (870) 932-5551
MIRACLE KIDS SUCCESS ACADEMY CENTRAL
Physical Therapist
1607 STONE ST
JONESBORO, AR 72401
Craighead County (870) 336-4100
MIRACLE KIDS SUCCESS ACADEMY CENTRAL
Clinic/Center (Developmental Disabilities)
1607 STONE ST
JONESBORO, AR 72401
Craighead County (870) 336-4100

Frequently Asked Questions

What is MIRACLE KIDS SUCCESS ACADEMY CENTRAL's NPI number?

The NPI number assigned to this healthcare provider is 1225739048, enumerated as an "organization" on March 17, 2023.

Where is the provider located?

The provider is located at 1607 STONE ST JONESBORO, AR 72401 and the phone number is (870) 336-4100.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.