Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Square One OT

Organization Pediatric Physical Therapist · NPI 1124783998

Square One OT is a Pediatric Physical Therapist in Bentonville, Arkansas. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

1202 NE McClain Rd Bldg 7
Bentonville, AR 72712-3875
Phone: (573) 213-9467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Pediatric Physical Therapist Taxonomy 2251P0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1124783998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katelyn Allen — Owner · (573) 213-9467
NPI enumeratedNovember 5, 2021
Last updated in NPPESNovember 5, 2021
Certification dateNovember 5, 2021
Mailing address21 Chelsea Ln, Bella Vista, AR 72715-6522

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