Individual provider Active NPI

Trinity D Courtney, PT

  • Physical Therapist
  • Trumann, AR
National Provider Identifier
1104972264
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2427 Issued in AR
Practice address
1005 Balcom Lane
Ascent Children's Health Services
Trumann, AR 72472
Phone
(870) 483-1461
Fax
(870) 483-6520
NPI assigned
Jan 25, 2007
Last updated
Apr 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT2427 AR
Physical Therapist 225100000X PT2427 AR Primary

Addresses

Primary practice location

1005 Balcom Lane
Ascent Children's Health Services
Trumann, AR 72472

Mailing address

1005 Balcom LN
Ascent Children's Health Services
Trumann, AR 72472
Phone (870) 483-1461

Other names 1

  • Trinity D Baker Former name

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

LicenseStateTypeSpecialty
PT2427ARMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1104972264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BALCOM LN",
            "address_2": "ASCENT CHILDREN'S HEALTH SERVICES",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "72472",
            "telephone_number": "870-483-1461",
            "fax_number": "870-483-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BALCOM LANE",
            "address_2": "ASCENT CHILDREN'S HEALTH SERVICES",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "72472",
            "telephone_number": "870-483-1461",
            "fax_number": "870-483-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "TRINITY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT2427",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINITY",
            "last_name": "BAKER",
            "middle_name": "D",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trumann, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.