NPIMap

Organization Active NPI

Stein Ancillary Services, LLC

  • Rehabilitation Practitioner
  • Fort Smith, AR
National Provider Identifier
1073591582
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
STEIN ANCILLARY SERVICES, LLC
Practice address
8520 S 36TH Ter
Fort Smith, AR 72908-8880
Phone
(479) 410-1740
Fax
(479) 410-1596
NPI assigned
Jan 4, 2006
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Mr. Paul Stein
Title
Owner
Phone
(228) 875-5447

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Rehabilitation Practitioner 225400000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

8520 S 36TH Ter
Fort Smith, AR 72908-8880

Mailing address

8520 S 36TH Ter
Fort Smith, AR 72908-8880
Phone (479) 410-1740

Other identifiers 1

IdentifierTypeStateIssuer
149735742MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250530000703 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153374046 Receives reassigned benefits from 18 practitioners
Practice locations: Harrison, AR; Huntsville, AR; Little Rock, AR
O20250616001350 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153374046 Receives reassigned benefits from 17 practitioners
Practice locations: McAlester, OK; Muskogee, OK; Tahlequah, OK

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Quail Ridge Living CenterColcord, OK, CCN 375386 Skilled nursing facility Adp of the SNF Jan 1, 1999
Cimarron Nursing CenterKingfisher, OK, CCN 375102 Skilled nursing facility Adp of the SNF Nov 1, 2015
First Shamrock Care CenterKingfisher, OK, CCN 375416 Skilled nursing facility Adp of the SNF Sep 1, 2014
Choctaw Nation Nursing HomeAntlers, OK, CCN 375372 Skilled nursing facility Adp of the SNF Oct 22, 2020
Antlers ManorAntlers, OK, CCN 375313 Skilled nursing facility Adp of the SNF Sep 1, 2014
Calera ManorCalera, OK, CCN 375519 Skilled nursing facility Adp of the SNF Nov 1, 2015
Boyce Manor Nursing HomeHoldenville, OK, CCN 375557 Skilled nursing facility Adp of the SNF Nov 1, 2015
Sapulpa Nursing CenterSapulpa, OK, CCN 375585 Skilled nursing facility Adp of the SNF Sep 1, 2025

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1073591582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-410-1740",
            "fax_number": "228-875-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-410-1740",
            "fax_number": "479-410-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN ANCILLARY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-875-5447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149735742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.