Individual provider Active NPI

Michael Saunders, PT, DPT

  • Physical Therapist
  • Hot Springs, AR
National Provider Identifier
1023367984
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3514 Issued in AR
Practice address
307 Carpenter Dam Rd
Suite L
Hot Springs, AR 71901-8218
Phone
(501) 623-6353
Fax
(501) 321-4783
NPI assigned
Sep 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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 3514 AR Primary

Addresses

Primary practice location

307 Carpenter Dam Rd
Suite L
Hot Springs, AR 71901-8218

Mailing address

307 Carpenter Dam Rd
Suite L
Hot Springs, AR 71901-8218
Phone (501) 623-6353

Other identifiers 1

IdentifierTypeStateIssuer
PT3514OtherARARKANSAS PT LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3514ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Lakes Physical Therapy, Inc. PastSince Oct 1, 2003 Accepting new patients

Organizations & group practices 1

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1023367984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD",
            "address_2": "SUITE L",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018218",
            "telephone_number": "501-623-6353",
            "fax_number": "501-321-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD",
            "address_2": "SUITE L",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018218",
            "telephone_number": "501-623-6353",
            "fax_number": "501-321-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS PT LICENSE NUMBER",
            "identifier": "PT3514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.