Active NPI
Farley Lynn Schweighart, PT
- Physical Therapist
- Wynne, AR
National Provider Identifier
1124252275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1187853 | TX | |
| Physical Therapist | 225100000X | 4250 | OK | |
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200243030A | Medicaid | OK | |
| 100522047 | Other | OK | MEDICARE PTAN |
| 1124252275 | Other | OK | TRICARE |
| 1124252275 | Other | OK | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4250 | OK | MD | Nephrology Physician |
| PT4281 | AR | MD | Physical Therapist |
| 1187853 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornelson Physical Therapy | Multi-Specialty | Current | Accepting new patients |
| Boaz & Associates, Inc. | Multi-Specialty | Past | 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.