Organization Active NPI

Flexpros Physical Therapy PLLC

  • Physical Therapist
  • Springdale, AR
National Provider Identifier
1093495103
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLEXPROS PHYSICAL THERAPY PLLC
Practice address
1326 Crutcher St
Springdale, AR 72764-6482
Phone
(479) 640-5518
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Jorge Elias HernandezNPI 1881209062
Title
PT
Phone
(479) 640-5518

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 Primary

Addresses

Primary practice location

1326 Crutcher St
Springdale, AR 72764-6482

Mailing address

1326 Crutcher St
Springdale, AR 72764-6482
Phone (479) 640-5518

Other practice location 1

571 Brooke St
Tontitown, AR 72762-4382
Phone (479) 640-5518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230911004303 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092179903 Receives reassigned benefits from 1 practitioner
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory

Locations

1326 Crutcher St
Springdale, AR 72764
Phone (479) 640-5518

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": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1093495103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 CRUTCHER ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646482",
            "telephone_number": "479-640-5518",
            "fax_number": "479-342-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 CRUTCHER ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727646482",
            "telephone_number": "479-640-5518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 Brooke St",
            "address_purpose": "LOCATION",
            "city": "Tontitown",
            "state": "AR",
            "postal_code": "727624382",
            "country_code": "US",
            "telephone_number": "479-640-5518",
            "fax_number": "479-342-2876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLEXPROS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "479-640-5518"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.