Individual provider Active NPI

Farley Lynn Schweighart, PT

  • Physical Therapist
  • Wynne, AR
National Provider Identifier
1124252275
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4281 Issued in AR
Practice address
1871 Falls Blvd N
Wynne, AR 72396-4026
Phone
(870) 208-8989
Fax
(870) 208-8107
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1187853 TX
Physical Therapist 225100000X 4250 OK
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT4281 AR Primary

Addresses

Primary practice location

1871 Falls Blvd N
Wynne, AR 72396-4026

Mailing address

1871 Falls Blvd N
Wynne, AR 72396-4026
Phone (870) 208-8989

Other identifiers 4

IdentifierTypeStateIssuer
200243030AMedicaidOK
100522047OtherOKMEDICARE PTAN
1124252275OtherOKTRICARE
1124252275OtherOKBCBS

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4250OKMDNephrology Physician
PT4281ARMDPhysical Therapist
1187853TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornelson Physical Therapy Multi-Specialty CurrentSince Jul 12, 2020 Accepting new patients
Boaz & Associates, Inc. Multi-Specialty PastSince Oct 15, 2023 Accepting new patients

Locations

6020 NW 120th Ct
Oklahoma City, OK 73162
Phone (405) 728-2869

Organizations & group practices 2

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1124252275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964026",
            "telephone_number": "870-208-8989",
            "fax_number": "870-208-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 FALLS BLVD N",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723964026",
            "telephone_number": "870-208-8989",
            "fax_number": "870-208-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWEIGHART",
        "first_name": "FARLEY",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1187853",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4250",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200243030A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "100522047",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1124252275",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1124252275",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.