Active NPI
Amy Beth Blanton
- Physical Therapy Assistant
- Clinton, AR
National Provider Identifier
1104704162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5073
- Practice address
- 2097 Highway 65 S
Clinton, AR 72031-6737 - Phone
- (501) 253-0750
- NPI assigned
- Aug 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5073 | AR | Primary |
Addresses
Primary practice location
2097 Highway 65 S
Clinton, AR 72031-6737
Mailing address
123 Pee Dee Rd
Clinton, AR 72031-8878
Phone (501) 253-0750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5073 | AR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1104704162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 PEE DEE RD",
"city": "CLINTON",
"state": "AR",
"postal_code": "720318878",
"telephone_number": "501-253-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HIGHWAY 65 S",
"city": "CLINTON",
"state": "AR",
"postal_code": "720316737",
"telephone_number": "501-253-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANTON",
"first_name": "AMY",
"middle_name": "BETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "5073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clinton, AR
- Birch Tree Communities, Inc
- Birch Tree Communities, Inc.
- Mercedes Birkner, RECOVERY ASSISTANT
- Mary Elizabeth Black, APRN, NP-C
- Janet Blair, RECOVERY ASSISTANT
- Sandra Hope Bondelier, LISW-S AND LCSW
- Abigail Bonds, APRN
- Boston Mountain Rural Health Center, Inc
- Boston Mountain Rural Health Center, Inc
- Ashley M Bothwell, RECOVERY ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.