MIRACLE KIDS SUCCESS ACADEMY NORTH
NPI 1902378037
Physical Therapist in Jonesboro, AR

Active since December 31, 2018
806 GLENDALE ST, JONESBORO, AR 72401(870) 932-3600 Get Directions Write a Review

NPPES record last updated: December 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Therapist

About MIRACLE KIDS SUCCESS ACADEMY NORTH

This page provides the complete NPI Profile along with additional information for Miracle Kids Success Academy North, a provider established in Jonesboro, Arkansas operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1902378037 assigned on December 2018. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Miracle Kids Success Academy North operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Shelly Keller (Ceo/owner)

NPI
1902378037 Verify this NPI
Provider Name
MIRACLE KIDS SUCCESS ACADEMY NORTH
Entity Type
Organization
Location Address
806 GLENDALE ST JONESBORO, AR 72401
Location Phone
(870) 932-3600
Mailing Address
806 GLENDALE ST JONESBORO, AR 72401
Mailing Phone
(870) 932-3600
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-31-2018
Last Update Date
12-31-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELLY KELLER

Authorized Official Title
CEO/OWNER
Authorized Official Phone
(870) 761-6680

Reviews for MIRACLE KIDS SUCCESS ACADEMY NORTH

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
806 GLENDALE ST
JONESBORO, AR 72401
Speech-Language Pathologist
806 GLENDALE ST
JONESBORO, AR 72401
Counselor (Mental Health)
806 GLENDALE ST
JONESBORO, AR 72401
Speech-Language Pathologist
806 GLENDALE ST
JONESBORO, AR 72401
Speech-Language Pathologist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training, Developmentally Disabled Services
806 GLENDALE ST
JONESBORO, AR 72401
Speech-Language Pathologist
806 GLENDALE ST
JONESBORO, AR 72401
Physical Therapy Assistant
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902378037, enumerated as an "organization" on December 31, 2018.

The provider is located at 806 GLENDALE ST JONESBORO, AR 72401 and the phone number is (870) 932-3600.

Physical Therapist with taxonomy code 225100000X.