Terra J Bellamy, LPTA

Individual provider Active NPI Physical Therapy Assistant · Siloam Springs, AR

NPI 1124050935 · NPPES record last updated Sep 6, 2007

Key facts

NPI
1124050935
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA 1543 (AR)
Practice address
1675 W. Jefferson
Ste. a
Siloam Springs, AR 72761-1379
Phone
(479) 524-8028
Fax
(479) 524-6151
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
PTA 1543ARMDPhysical Therapy Assistant
1133OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stinnett & Scarbrough P.a, Past
since Jan 20, 2000
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA 1543 AR Yes
Physical Therapy Assistant 225200000X 1133 OK

Addresses

Primary practice location

1675 W. Jefferson
Ste. a
Siloam Springs, AR 72761-1379

Mailing address

PO Box 1379
Siloam Springs, AR 72761-1379
Phone (479) 524-8028

Other providers in Siloam Springs, AR

All providers in Siloam Springs, AR · Physical Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.