Organization Active NPI

Exceed Physical Therapy, Inc.

  • Physical Therapist
  • Farmington, AR
National Provider Identifier
1073706370
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2659 Issued in AR
Legal business name
EXCEED PHYSICAL THERAPY, INC.
Practice address
95 S Southwinds Rd
Suite 1
Farmington, AR 72730
Phone
(479) 267-0713
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Mr. Todd Dunn, PTNPI 1427110444
Title
President
Phone
(479) 267-0713

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 2659 AR Primary

Addresses

Primary practice location

95 S Southwinds Rd
Suite 1
Farmington, AR 72730

Mailing address

2718 E Ferguson Ave
Fayetteville, AR 72703-4310
Phone (479) 267-0713

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818000346 AR Part B Supplier - Clinic/Group Practice 4486871357 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, AR

National Provider Directory

National Provider Directory

Locations

95 Southwinds Rd
Ste 6
Farmington, AR 72730
Phone (479) 267-0713

95 Southwinds Rd
Ste 1
Farmington, AR 72730
Phone (479) 267-0713

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1073706370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 E FERGUSON AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034310",
            "telephone_number": "479-267-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S SOUTHWINDS RD",
            "address_2": "SUITE 1",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "72730",
            "telephone_number": "479-267-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEED PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-267-0713",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.