Individual provider Active NPI

Stephenia D Terry, P.T.

  • Physical Therapist
  • Hardy, AR
National Provider Identifier
1023006137
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2125 Issued in AR
Practice address
1441 Highway 62-412
Hardy, AR 72542
Phone
(870) 856-9675
Fax
(870) 856-9679
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 2125 AR Primary

Addresses

Primary practice location

1441 Highway 62-412
Hardy, AR 72542

Mailing address

1441 Highway 62-412
Hardy, AR 72542
Phone (870) 856-9675

Other identifiers 2

IdentifierTypeStateIssuer
134409721MedicaidAR
5X069OtherARARKANSAS BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809001002 AR Practitioner - Physical Therapist in Private Practice 2769453851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

201 N College St
Mountain Home, AR 72653-3653
Phone (870) 232-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2125ARMDRegistered Dietitian
PT 2125ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Feb 26, 2025 Accepting new patients
Therapy Works, Inc. Physical Therapist PastSince Sep 9, 2002 Accepting new patients

Locations

1441 Highway 62 412
Highland, AR 72542
Phone (870) 856-9675

201 N College St
Mountain Home, AR 72653
Phone (870) 232-5999

414 W Old Main St
Ste B
Yellville, AR 72687
Phone (870) 449-7456

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1023006137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 HIGHWAY 62-412",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "72542",
            "telephone_number": "870-856-9675",
            "fax_number": "870-856-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 HIGHWAY 62-412",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "72542",
            "telephone_number": "870-856-9675",
            "fax_number": "870-856-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "STEPHENIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134409721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "5X069",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.