Active NPI
Bryce Newsome
- Physical Therapist
- West Memphis, AR
National Provider Identifier
1053785543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4098
- Practice address
- 610 N Missouri St Ste 1
West Memphis, AR 72301-3148 - Phone
- (870) 400-0179
- NPI assigned
- Nov 20, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4098 | AR | Primary |
Addresses
Primary practice location
610 N Missouri St Ste 1
West Memphis, AR 72301-3148
Mailing address
610 N Missouri St Ste 1
West Memphis, AR 72301-3148
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4098 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Alliance | Physical Therapist | Past | Accepting new patients |
| Therapeutic Focus, L.L.C. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- West Memphis, AR
- NPI 1003219510
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1053785543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MISSOURI ST STE 1",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MISSOURI ST STE 1",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013148",
"telephone_number": "870-400-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "BRYCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-20",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.