Laura Fawn Purcell, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2255 Issued in NU

Practice address

363 McKnight Ave
West Fork, AR 72774

Phone

(479) 751-3900

NPI assigned

Jan 30, 2007

Last updated

Apr 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A. Yumang Rehab Serivces, PA

  • Physical Therapist
  • Springdale, AR
  • NPI 1356435358
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1083750533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 W CANYON RUN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727043401",
            "telephone_number": "479-857-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MCKNIGHT AVE",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "72774",
            "telephone_number": "479-751-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "LAURA",
        "middle_name": "FAWN",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "PT2255",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "5U688",
            "identifier": "BLUE CROSS",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Open Door Health and Community Services
• Open Door Health and Community Services
• Krystle Owen, MS CF-SLP
• Twila Owens, LCSW
• Pond Pediatric Therapy
• Meredith Purifoy, MS CF-SLP
• Abagail Grace Reaves, OTA
• Relatyv Mobile Medical LLC
• Rest Assured Home Care LLC
• Robert Allen Stubbs Counseling LLC

• Physical Therapist in West Fork, AR
• Providers in West Fork, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.