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Miracle Kids Success Academy of Trumann

Physical Therapist in Trumann, AR · enumerated 2019 · authorized official Shelly Keller, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063979243

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Registry record

Entity type Organization (Type 2)
Legal business name Miracle Kids Success Academy of Trumann
Practice address 1005 Balcom Ln, Trumann, AR, 72472
Phone (870) 761-6680
Enumeration date Feb 25, 2019
Last updated in NPPES Feb 25, 2019

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

Authorized official

Name Shelly Keller
Title Ceo
Phone (870) 761-6680

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Miracle Kids Success Academy of Trumann?
NPPES lists Shelly Keller (Ceo) as the authorized official for this organization.
What is the NPI number for Miracle Kids Success Academy of Trumann?
The NPI for Miracle Kids Success Academy of Trumann is 1063979243, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-25.