Individual provider Active NPI

Brier Jade Skogsberg, DPT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1104424233
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4866 Issued in AR
Practice address
10014 N Rodney Parham Rd Ste 103
Little Rock, AR 72227-5587
Phone
(501) 224-5454
Fax
(501) 224-5460
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4866 AR Primary

Addresses

Primary practice location

10014 N Rodney Parham Rd Ste 103
Little Rock, AR 72227-5587

Mailing address

10014 N Rodney Parham Rd Ste 103
Little Rock, AR 72227-5587
Phone (501) 224-5454

Other identifiers 1

IdentifierTypeStateIssuer
4866OtherARPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201111002405 AR Practitioner - Physical Therapist in Private Practice 0941610471 Reassigns benefits to 2 organizations
I20220811001312 WA Practitioner - Physical Therapist in Private Practice 0941610471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Pelvic Health PLLCGroup PAC ID 6002235421, 15 clinicians

Practice addresses (Care Compare)

10825 Kanis Rd
Little Rock, AR 72211-3802
Phone (501) 420-3884

1226 Ferguson Dr
Suite 1
Benton, AR 72015-3567
Phone (501) 420-3884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4866ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Pelvic Health PLLC Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Aptc of Little Rock, Inc. Physical Therapist CurrentSince Aug 27, 2020 Accepting new patients
Multicare Health System CurrentSince Aug 1, 2022 Accepting new patients
Multicare Health System CurrentSince Aug 1, 2022 Accepting new patients

Locations

10014 N Rodney Parham Rd
Ste 103
Little Rock, AR 72227
Phone (501) 224-1303

10825 Kanis Rd
Ste 300
Little Rock, AR 72211
Phone (501) 420-3884

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1104424233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 N RODNEY PARHAM RD STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722275587",
            "telephone_number": "501-224-5454",
            "fax_number": "501-224-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 N RODNEY PARHAM RD STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722275587",
            "telephone_number": "501-224-5454",
            "fax_number": "501-224-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOGSBERG",
        "first_name": "BRIER",
        "middle_name": "JADE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "4866",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.