Organization Active NPI

Trilogy Physical Therapy, LLC

  • Physical Therapist
  • Dover, AR
National Provider Identifier
1083068290
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1789 Issued in AR
Legal business name
TRILOGY PHYSICAL THERAPY, LLC
Practice address
8952 Market St
Suite 7
Dover, AR 72837-9110
Phone
(501) 860-3500
NPI assigned
Apr 14, 2016
Last updated
Apr 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Authorized official

Name
Sandra WyattNPI 1881826949
Title
Owner/Member
Phone
(501) 860-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT 1789 AR Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OTR506 AR
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP 263 AR

Addresses

Primary practice location

8952 Market St
Suite 7
Dover, AR 72837-9110

Mailing address

8952 Market St
Suite 7
Dover, AR 72837-9110

National Provider Directory

National Provider Directory

Locations

8952 Market St
Ste 7
Dover, AR 72837
Phone (479) 331-3303

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1083068290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8952 MARKET ST",
            "address_2": "SUITE 7",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728379110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8952 MARKET ST",
            "address_2": "SUITE 7",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728379110",
            "telephone_number": "501-860-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "501-860-3500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1789",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR506",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SLP 263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.