Chaney Allen

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Viola, AR

NPI 1114800893 · NPPES record last updated Jul 29, 2025

Key facts

NPI
1114800893
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
5053 (AR)
Practice address
9818 US-62
Viola, AR 72583
Phone
(870) 539-9969
NPI assigned
Jul 29, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5053ARMDPhysical Medicine & Rehabilitation Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5053 AR Yes

Addresses

Primary practice location

9818 US-62
Viola, AR 72583

Mailing address

95 Circle Dr
Evening Shade, AR 72532-9322

Other providers in Viola, AR

All providers in Viola, AR · Physical Medicine & Rehabilitation Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.