Active NPI
Emc Therapy Services, LLC
- Pediatric Physical Therapist
- Bentonville, AR
National Provider Identifier
1114596038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- EMC THERAPY SERVICES, LLC
- Practice address
- 201 SW 14TH St Ste 205
Bentonville, AR 72712-7771 - Phone
- (419) 204-2465
- Fax
- (479) 282-0412
- NPI assigned
- Jun 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin McIlroy, DPT
- Title
- Owner
- Phone
- (419) 204-0412
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary | ||
| Physical Therapy Assistant | 225200000X |
Addresses
Primary practice location
201 SW 14TH St Ste 205
Bentonville, AR 72712-7771
Mailing address
201 SW 14TH St Ste 205
Bentonville, AR 72712-7771
Phone (419) 204-2465
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624492800000",
"number": "1114596038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SW 14TH ST STE 205",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127771",
"telephone_number": "419-204-2465",
"fax_number": "479-282-0412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SW 14TH ST STE 205",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127771",
"telephone_number": "419-204-2465",
"fax_number": "479-282-0412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMC THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A",
"authorized_official_last_name": "MCILROY",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-204-0412",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.