NPIMap

Organization Active NPI

Ivy Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Heber Springs, AR
National Provider Identifier
1053695551
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3072 Issued in AR
Legal business name
IVY PHYSICAL THERAPY, INC
Practice address
201 S 7TH St
Heber Springs, AR 72543-3718
Phone
(501) 362-8118
Fax
(501) 362-8119
NPI assigned
Oct 3, 2011
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Dr. Laura L Ivy, PTNPI 1962659433
Title
President
Phone
(501) 206-7623

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 PT3072 AR Primary

Addresses

Primary practice location

201 S 7TH St
Heber Springs, AR 72543-3718

Mailing address

201 S 7TH St
Heber Springs, AR 72543-3718
Phone (501) 362-8118

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120106000170 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204002686 Receives reassigned benefits from 4 practitioners
Practice locations: Heber Springs, AR; Quitman, AR

National Provider Directory

National Provider Directory

Locations

201 S 7th St
Heber Springs, AR 72543
Phone (501) 206-7623

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1053695551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 7TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433718",
            "telephone_number": "501-362-8118",
            "fax_number": "501-362-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 7TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433718",
            "telephone_number": "501-362-8118",
            "fax_number": "501-362-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "IVY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-206-7623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.