NPIMap

Organization Active NPI

Mountaincrest Rehabilitation

  • Physical Therapy Clinic/Center
  • Bella Vista, AR
National Provider Identifier
1124579164
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
4153 Issued in AR
Legal business name
MOUNTAINCREST REHABILITATION
Practice address
1801 Forest Hills Blvd
Bella Vista, AR 72715-3016
Phone
(479) 855-9348
Fax
(479) 855-9358
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Stewart OngNPI 1588614945
Title
Physical Therapist
Phone
(479) 236-4987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 4153 AR Primary

Addresses

Primary practice location

1801 Forest Hills Blvd
Bella Vista, AR 72715-3016

Mailing address

1801 Forest Hills Blvd
Bella Vista, AR 72715-3016
Phone (479) 855-9348

National Provider Directory

National Provider Directory
Tax ID family
Mountaincrest Rehab of Bella Vista Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1124579164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153016",
            "telephone_number": "479-855-9348",
            "fax_number": "479-855-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOREST HILLS BLVD",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153016",
            "telephone_number": "479-855-9348",
            "fax_number": "479-855-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINCREST REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "479-236-4987"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "4153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.