Healthcare Provider Details

I. General information

NPI: 1346873007
Provider Name (Legal Business Name): CASA PEDIATRIC CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1391 PLAZA PL STE C
SPRINGDALE AR
72764-5225
US

IV. Provider business mailing address

1391 PLAZA PL STE C
SPRINGDALE AR
72764-5225
US

V. Phone/Fax

Practice location:
  • Phone: 479-310-8958
  • Fax: 479-431-5114
Mailing address:
  • Phone: 479-310-8958
  • Fax: 479-431-5114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: RACHEL G. GUERRA
Title or Position: OWNER, SLP
Credential: MS, CCC-SLP
Phone: 479-310-8958