NPIMap

Organization Active NPI

Matthews Physical Therapy Inc

Doing business as Clinton Physical Therapy

  • Physical Therapist
  • Clinton, AR
National Provider Identifier
1053476101
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1319 Issued in AR
Legal business name
MATTHEWS PHYSICAL THERAPY INC
Doing business as
Clinton Physical Therapy
Practice address
230 Highway 65 N Ste 6
Clinton, AR 72031-6676
Phone
(501) 745-8881
Fax
(501) 745-3113
NPI assigned
Dec 27, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Brenda Rena Alexander
Title
Office Manager
Phone
(501) 745-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1319 AR Primary

Addresses

Primary practice location

230 Highway 65 N Ste 6
Clinton, AR 72031-6676

Mailing address

2000 Hwy 25B North
Suite A1
Heber Springs, AR 72543
Phone (501) 362-7195

Other practice location 1

2000 Hwy 25B North
Suite A1
Heber Springs, AR 72543
Phone (501) 362-7195

Other identifiers 1

IdentifierTypeStateIssuer
139712742MedicaidAR

Other names 1

  • Clinton Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041213000461 AR Part B Supplier - Clinic/Group Practice 5890752794 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Clinton, AR; Fairfield Bay, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

119 Ingram St
#B
Clinton, AR 72031
Phone (501) 745-8881

230 Highway 65 N
Ste 6
Clinton, AR 72031
Phone (501) 362-7195

2000 Highway 25B
Ste A1
Heber Springs, AR 72543
Phone (501) 362-7195

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1053476101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HWY 25B NORTH",
            "address_2": "SUITE A1",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "72543",
            "telephone_number": "501-362-7195",
            "fax_number": "501-362-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HIGHWAY 65 N STE 6",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316676",
            "telephone_number": "501-745-8881",
            "fax_number": "501-745-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hwy 25B North",
            "address_2": "Suite A1",
            "address_purpose": "LOCATION",
            "city": "Heber Springs",
            "state": "AR",
            "postal_code": "72543",
            "country_code": "US",
            "telephone_number": "501-362-7195",
            "fax_number": "501-362-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEWS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-745-8881"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139712742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.