Kidsource Therapy
Kidsource Therapy is a healthcare organization registered as Speech-Language Pathologist in Benton, AR, holding Type 2 (organization) NPI 1760443220 since 2006. The authorized official on file is Corey Tinkle, Ms Pt Vp.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1760443220 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kidsource Therapy |
| Practice address | 17706 I-30, STE 3, Benton, AR, 72015 |
| Phone | 5013154414 |
| Fax | 5013153467 |
| Enumeration date | 2006-03-31 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Corey Tinkle |
|---|---|
| Title | Ms Pt Vp |
| Phone | 5013154415 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Secondary | — | — |
| 225X00000X | Occupational Therapist | Secondary | — | — |
| 235Z00000X | Speech-Language Pathologist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5C299 | Other | AR | BCBS |
Copy-ready billing details
Provider: Kidsource Therapy NPI: 1760443220 Taxonomy: 235Z00000X (Speech-Language Pathologist) Address: 17706 I-30, STE 3, Benton, AR, 72015
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053370700 | Kathyrn Sandusky | Individual | Physical Therapist | Benton, AR |
| 1396704045 | Traci Snyder | Individual | Occupational Therapist | Benton, AR |
| 1942269717 | Laura Shotts | Individual | Speech-Language Pathologist | Benton, AR |
| 1679532444 | Kelli Winters | Individual | Physical Therapist | Benton, AR |
| 1487613253 | Wendy Lyon | Individual | Speech-Language Pathologist | Benton, AR |
| 1295794063 | Myra Schlesier | Individual | Occupational Therapist | Benton, AR |
| 1194784975 | Marion Strickland | Individual | Speech-Language Pathologist | Benton, AR |
| 1356300123 | Lynn Dineen | Individual | Speech-Language Pathologist | Benton, AR |
Verify this record
Cross-check NPI 1760443220 against the authoritative CMS record: view Kidsource Therapy on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Kidsource Therapy?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-09-11.