Santiago Uscocovich, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4576 Issued in AR

Practice address

2700 N Prickett Rd Ste 2
Bryant, AR 72022-7511

Phone

(501) 213-0594

Fax

(844) 272-0941

NPI assigned

Sep 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Behavior Bridges ABA LLC

  • Behavior Analyst
  • Bryant, AR
  • NPI 1265314645
  NPD
• J5 Therapy, Inc.

  • Behavior Analyst
  • Bryant, AR
  • NPI 1427867050
  NPD
• J5 Therapy, Inc.

  • Home Health Agency
  • Bryant, AR
  • NPI 1548984586
  NPD
• J5 Therapy, Inc.

  • Multi-Specialty Clinic/Center
  • Bryant, AR
  • NPI 1730530817
  NPD (past)

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1104432327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1419",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720023419",
            "telephone_number": "501-213-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N PRICKETT RD STE 2",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227511",
            "telephone_number": "501-213-0594",
            "fax_number": "844-272-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USCOCOVICH",
        "first_name": "SANTIAGO",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.microsoft.com/en-us/microsoft-365/onedrive/online-cloud-storage",
            "affiliation": "N",
            "endpointDescription": "Microsoft OneDrive",
            "address_1": "2700 N Prickett Rd Ste 2",
            "city": "Bryant",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720227511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sydney Troillett, MCD, CF-SLP
• Erica Turk, PHARMD
• Meghan Amanda Turner, APN
• Shelley Elizabeth Tuxhorn, A.P.N.
• University of Arkansas for Medical Sciences
• Amanda Jean Ussery, APRN
• V & S Xpress LLC
• Victoria Valentine
• Virginia L Van Es, M.S.,CCC-SLP
• Molly Ann Vanwie, LPC

• Physical Therapy Assistant in Bryant, AR
• Providers in Bryant, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.