Individual provider Active NPI

Sara Eller, PT

  • Physical Therapist
  • North Little Rock, AR
National Provider Identifier
1124675434
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4708 Issued in AR
Practice address
4801 Fairway Ave
North Little Rock, AR 72116
Phone
(501) 758-1300
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT4708 AR Primary

Addresses

Primary practice location

4801 Fairway Ave
North Little Rock, AR 72116

Mailing address

4801 Fairway Ave
North Little Rock, AR 72116
Phone (501) 758-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191017001323 AR Practitioner - Physical Therapist in Private Practice 8921339284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians
Harris and Renshaw Rehab Center IncGroup PAC ID 1557496205, 19 clinicians

Practice addresses (Care Compare)

401 Southridge Pkwy
Heber Springs, AR 72543-8853
Phone (501) 362-7023

4801 Fairway Ave
North Little Rock, AR 72116-8009
Phone (501) 758-1300

925 Country Club Pkwy
Synergy Care at Mira of Maumelle
Maumelle, AR 72113-7825
Phone (501) 387-7244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4708ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care Southeast, LLC Single Specialty CurrentSince Apr 5, 2025 Accepting new patients
Arkansas Pain Centers LTD CurrentSince May 1, 2020 Accepting new patients
Arkansas Pain Centers, LTD Single Specialty CurrentSince May 1, 2020 Accepting new patients
Harris & Renshaw Rehab Center, Inc. Single Specialty CurrentSince Aug 26, 2019 Accepting new patients

Locations

401 Southridge Pkwy
Heber Springs, AR 72543
Phone (501) 239-4685

4801 Fairway Ave
North Little Rock, AR 72116
Phone (501) 687-0328

308 Smokey Ln
North Little Rock, AR 72117
Phone (501) 255-2512

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

Organizations & group practices 4

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1124675434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-758-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-758-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLER",
        "first_name": "SARA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.