Organization Active NPI

Ouachita Physical Therapy Services Inc

  • Physical Therapist
  • Mena, AR
National Provider Identifier
1003036153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OUACHITA PHYSICAL THERAPY SERVICES INC
Practice address
400 G Crestwood Circle
Mena, AR 71953
Phone
(479) 394-7979
Fax
(479) 394-7667
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Joseph Schulte, PT
Title
Owner Physical Therapist
Phone
(479) 394-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

400 G Crestwood Circle
Mena, AR 71953

Mailing address

400 G Crestwood Circle
Mena, AR 71953
Phone (479) 394-7979

Other names 1

  • Ouachita Rehabilitation and Fitness Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003036153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 G CRESTWOOD CIRCLE",
            "city": "MENA",
            "state": "AR",
            "postal_code": "71953",
            "telephone_number": "479-394-7979",
            "fax_number": "479-394-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 G CRESTWOOD CIRCLE",
            "city": "MENA",
            "state": "AR",
            "postal_code": "71953",
            "telephone_number": "479-394-7979",
            "fax_number": "479-394-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUACHITA PHYSICAL THERAPY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "479-394-7979",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ouachita Rehabilitation and Fitness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.