David P Hochstedler, PT

Individual provider Active NPI Physical Therapist · Mt. Ida, AR

NPI 1124229794 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124229794
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT 2708 (AR)
Practice address
741 South Dr
Mt. Ida, AR 71957
Phone
(870) 867-2584
NPI assigned
May 30, 2007
Sex
Male
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
PT 2708ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Image Physical Therapy & Fitness P.C. Physical Therapist Past
since Mar 13, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 2708 AR Yes

Addresses

Primary practice location

741 South Dr
Mt. Ida, AR 71957

Mailing address

215 Bow Hill TRL
Royal, AR 71968-9580
Phone (501) 991-3217

Other providers in Mt. Ida, AR

All providers in Mt. Ida, AR · Physical Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.