Organization Active NPI

First Choice Physical Therapy

  • Physical Therapy Clinic/Center
  • Blytheville, AR
National Provider Identifier
1013556307
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
FIRST CHOICE PHYSICAL THERAPY
Practice address
827 E Main St Ste B
Blytheville, AR 72315-2575
Phone
(870) 763-8155
Fax
(870) 838-1589
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Valarie Oldham, PTNPI 1164859286
Title
President
Phone
(870) 740-6698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

827 E Main St Ste B
Blytheville, AR 72315-2575

Mailing address

PO Box 45
Blytheville, AR 72316-0045
Phone (870) 740-6698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200115000082 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638504947 Receives reassigned benefits from 3 practitioners
Practice locations: Blytheville, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1013556307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723160045",
            "telephone_number": "870-740-6698",
            "fax_number": "870-838-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E MAIN ST STE B",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152575",
            "telephone_number": "870-763-8155",
            "fax_number": "870-838-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "VALARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-740-6698",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.