Healthcare Provider Details

I. General information

NPI: 1164247128
Provider Name (Legal Business Name): COMPASS ACADEMY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 TILK RD
CONWAY AR
72032-6648
US

IV. Provider business mailing address

225 TILK RD
CONWAY AR
72032-6648
US

V. Phone/Fax

Practice location:
  • Phone: 501-581-1070
  • Fax:
Mailing address:
  • Phone: 501-581-1070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEEANN SMITH
Title or Position: DIRECTOR OF THERAPY
Credential: PT, MSPT
Phone: 501-472-4923