Spine and Sports Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPINE AND SPORTS REHABILITATION

Practice address

501 N Main St
Harrison, AR 72601-3535

Phone

(870) 741-1206

Fax

(870) 743-5974

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Norma Lee Stockstill

Title

Office Manager

Phone

(870) 741-1206

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Damarillo Sebag, RPT

  • Physical Therapist
  • Harrison, AR
  • NPI 1164405395

  AR, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Louela Sebag

  • Physical Therapist
  • Harrison, AR
  • NPI 1740263987

  AR

  Medicare reassignment Care Compare group
• Grace Guzman Tuazon, PT

  • Physical Therapist
  • Harrison, AR
  • NPI 1891778031

  AR, Physical Therapist

  Medicare reassignment NPD
• Henry Deguzman Adamos, LPT

  • Physical Therapist
  • Harrison, AR
  • NPI 1922083534
  NPD (past)
• Mavilyn Crissman, PT

  • Physical Therapist
  • Harrison, AR
  • NPI 1962539858
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1104190347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726020861",
            "telephone_number": "870-741-1206",
            "fax_number": "870-743-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013535",
            "telephone_number": "870-741-1206",
            "fax_number": "870-743-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "STOCKSTILL",
        "authorized_official_first_name": "NORMA LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-741-1206"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somerset Senior Living at Mount Vista
• Soul Purpose Counseling Co.
• Adam Patrick Sova, RD
• Kathy M Spears, MHPP
• Specialized Physical Medicine and Rehabilitian Clinics PC
• Spot on Pediatric Therapy, LLC
• Springfield Neurological and Spine Institute
• Springfield Neurological and Spine Institute
• Springfield Neurological and Spine Institute
• Shandra Marie Standridge

• All providers in Harrison, AR
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.