Clint Allen Bacchus, PT, DPT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT4282 Issued in AR

Practice address

1310 E Main St
Clarksville, AR 72830-9554

Phone

(479) 647-5000

Fax

(479) 647-5001

NPI assigned

Jun 8, 2017

Last updated

May 11, 2026By the provider in NPPES

Sex

Male

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Medical Branch at Galveston, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

3D Physical Therapy and Sports Medicine, LLCGroup PAC ID 2163781626, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 3D Physical Therapy and Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Clarksville, AR
  • NPI 1992216642

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Coulter Physical Therapy, Inc.

  • Physical Therapist
  • Russellville, AR
  • NPI 1649261942
  NPD

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1053840447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309554",
            "telephone_number": "479-647-5000",
            "fax_number": "479-647-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728309554",
            "telephone_number": "479-647-5000",
            "fax_number": "479-647-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACCHUS",
        "first_name": "CLINT",
        "middle_name": "ALLEN",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Arrietta, CMP
• Ashley G Donaldson PA
• Ludwig James Aszod, LPC
• Lisa Atley-King, RECOVERY ASSISTANT
• Brittney Avaritt, LPC
• Albert Bagsby, RECOVERY ASSISTANT
• Ruth Bagsby
• Deeanna Bailey, RECOVERY ASSISTANT
• Hailey Bailey
• Nancy Bailey, CMP

• Orthopedic Physical Therapist in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Orthopedic Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.