Individual provider Active NPI

Samuel K Philley, PT, DPT

  • Physical Therapist
  • Lonoke, AR
National Provider Identifier
1023993235
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5681 Issued in AR
Practice address
1515 N Center St Ste 5
Lonoke, AR 72086-2100
Phone
(501) 676-5540
Fax
(501) 676-6499
NPI assigned
Aug 7, 2025
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 PT5681 AR Primary

Addresses

Primary practice location

1515 N Center St Ste 5
Lonoke, AR 72086-2100

Mailing address

PO Box 5718
Kalispell, MT 59903-5718
Phone (406) 756-0134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250821004021 AR Practitioner - Physical Therapist in Private Practice 0446750780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health and Rehab LLCGroup PAC ID 1951792480, 8 clinicians

Practice addresses (Care Compare)

1515 N Ctr St
Suite 5
Lonoke, AR 72086-2100
Phone (501) 676-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5681ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health & Rehab LLC Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients
Lonoke Physical Therapy, Inc Physical Therapist CurrentSince Aug 7, 2025 Accepting new patients

Locations

1515 N Center St
Ste 5
Lonoke, AR 72086
Phone (501) 676-5540

11100 Highway 165
Ste 5
North Little Rock, AR 72117
Phone (501) 945-0200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1023993235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "406-756-0134",
            "fax_number": "406-300-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N CENTER ST STE 5",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862100",
            "telephone_number": "501-676-5540",
            "fax_number": "501-676-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLEY",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonoke, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.