Active NPI
Trilogy Physical Therapy, LLC
- Physical Therapist
- Dover, AR
National Provider Identifier
1083068290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1789
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Wyatt
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 1789 | AR | Primary |
| Occupational Therapist | 225X00000X | OTR506 | AR | |
| Speech-Language Pathologist | 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 DirectoryLocations
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.
-
- Speech-Language Pathologist
- Dover, AR
- NPI 1881826949
-
- Physical Therapist
- Dover, AR
- NPI 1376185306
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.