Individual provider Active NPI

Steven L Radford, DPT

  • Physical Therapist
  • Siloam Springs, AR
National Provider Identifier
1124177126
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2680 Issued in AR
Practice address
2021 B East Main
Siloam Springs, AR 72761-5585
Phone
(479) 524-3378
Fax
(479) 524-3370
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT2680 AR Primary
Physical Therapist 225100000X 10535 CO

Addresses

Primary practice location

2021 B East Main
Siloam Springs, AR 72761-5585

Mailing address

300 Meadow Brook Cir
Siloam Springs, AR 72761-8349
Phone (479) 524-3378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105001099 AR Practitioner - Physical Therapist in Private Practice 9830147982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
3D PT, IncGroup PAC ID 4789686486, 3 clinicians

Practice addresses (Care Compare)

2021 B E Main
3DPT
Siloam Springs, AR 72761-5585
Phone (479) 524-3378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10535COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
3D PT, Inc Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Pinnacle Home Therapy Physical Therapist PastSince Jan 1, 2000 Accepting new patients
Rocky Mountain Provider Network, LLC Physical Therapist Past Accepting new patients

Locations

2021 E Main St
#B
Siloam Springs, AR 72761
Phone (479) 524-3378

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1124177126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEADOW BROOK CIR",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618349",
            "telephone_number": "479-524-3378",
            "fax_number": "479-524-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 B EAST MAIN",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727615585",
            "telephone_number": "479-524-3378",
            "fax_number": "479-524-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFORD",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2680",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "10535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.