KIDSOURCE THERAPY
NPI 1760443220
Speech-Language Pathologist in Benton, AR

Active since March 31, 2006
17706 I-30, STE 3, BENTON, AR 72015(501) 315-4414(501) 315-3467 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Kidsource Therapy NPPES

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

KIDSOURCE THERAPY (NPI 1760443220) is a healthcare organization registered as a speech-language pathologist in Benton, Arkansas and active in the NPI registry since March 2006. The organization lists Corey W Tinkle, Ms Pt Vp, as its authorized official.

NPPES Registry Identity

NPI1760443220
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameKIDSOURCE THERAPY
Location Address17706 I-30, STE 3Benton, AR 72015
Mailing Address17706 I-30, Ste 3Benton, AR 72015 · (501) 315-4414 · Fax (501) 315-3467
Fax(501) 315-3467
Organization SubpartNo
Authorized OfficialCorey W TinkleMs Pt Vp · (501) 315-4415
Enumeration DateMarch 31, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1760443220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X

Other Identifiers 1

Other5C299AR · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Physical Therapist
17706 I-30, STE 3
BENTON, AR 72015
Speech-Language Pathologist
17706 I-30, STE 3
BENTON, AR 72015
Occupational Therapy Assistant
17706 I-30, STE. 3
BENTON, AR 72015
Occupational Therapist
17706 I-30, STE 3
BENTON, AR 72015
Occupational Therapist
17706 I-30, STE 3
BENTON, AR 72015
Speech-Language Pathologist
17706 I-30
BENTON, AR 72015
Occupational Therapist
17706 I-30, STE 3
BENTON, AR 72015
Occupational Therapist
17706 I-30, STE 3
BENTON, AZ 72015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kidsource Therapy's NPI number?

The NPI number for Kidsource Therapy is 1760443220. It was assigned to this organization in the NPPES registry on March 31, 2006.

Where is Kidsource Therapy located?

Kidsource Therapy is located at 17706 I-30 Ste 3, Benton, AR 72015. The listed phone number is (501) 315-4414.

What is Kidsource Therapy's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Kidsource Therapy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Kidsource Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidsource Therapy was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.