Anna Vodrazka

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2618 Issued in AR

Practice address

306 E 11TH St
Russellville, AR 72801-6156

Phone

(479) 968-1198

Fax

(479) 967-1178

NPI assigned

Nov 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1053741553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 3RD ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015204",
            "telephone_number": "479-968-1198",
            "fax_number": "479-967-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 11TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728016156",
            "telephone_number": "479-968-1198",
            "fax_number": "479-967-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODRAZKA",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA2618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Vick
• Anna Katharine Villalobos, MS, CCC-SLP
• Dezirae Villalobos
• Casey Vincent
• Brittni Marisa Vinson
• Robert Edward Vogler, M.S.P.T.
• Meagan Votteler
• W. Bruce Brown MD, PA. (Arkansas Orthopaedic Center)
• Mary Wade
• Wal-Mart Stores, Inc. (Vision Center 30-0058)

• Physical Therapy Assistant in Russellville, AR
• Providers in Russellville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.