Christi Bjornberg, DPT
Individual provider Active NPI Pediatric Physical Therapist · Conway, AR
NPI 1073845657 · NPPES record last updated May 16, 2013
Key facts
- NPI
- 1073845657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 3534 (AR)
- Practice address
- 306 Salem Rd
Conway, AR 72034-6159 - Phone
- (501) 581-6045
- Fax
- (501) 514-3722
- NPI assigned
- Feb 5, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201216000424 | AR | Practitioner - Physical Therapist in Private Practice | 7517379597 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3534 | AR | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathfinder, Inc. | Current |
Accepting new patients | |
| Therapy 4 Kids | Past | Accepting new patients | |
| Pathfinder, Inc. | Past | Accepting new patients |
Locations
905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302
2520 W Main St
Jacksonville, AR 72076
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3534 | AR | Yes |
Addresses
Primary practice location
306 Salem Rd
Conway, AR 72034-6159
Mailing address
PO Box 933
Greenbrier, AR 72058-0933
Phone (501) 581-6045
Other providers in Conway, AR
- Elizabeth Bishop
- Jennifer Evins Bishop
- Kaylee Nicole Bishop
- Kaylie Bishop
- Kaleb Andrew Bivens
- Harold Black
- Jessica Black
- Nickolas Black
- Taylor Michelle Black
- Kalone Blackmon
All providers in Conway, AR · Pediatric Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.