Individual provider Active NPI

Michelle Nixon Glover, DPT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1134551864
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3711 Issued in AR
Practice address
10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5598
Phone
(501) 224-5454
Fax
(501) 224-5460
NPI assigned
Aug 5, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3711 AR Primary

Addresses

Primary practice location

10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5598

Mailing address

6926 Highway 92 E
Bee Branch, AR 72013-9082
Phone (501) 654-4364

Other identifiers 1

IdentifierTypeStateIssuer
3711OtherARPT LICENSE

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
3711ARMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1134551864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 HIGHWAY 92 E",
            "city": "BEE BRANCH",
            "state": "AR",
            "postal_code": "720139082",
            "telephone_number": "501-654-4364",
            "fax_number": "501-224-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 N RODNEY PARHAM RD",
            "address_2": "SUITE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722275598",
            "telephone_number": "501-224-5454",
            "fax_number": "501-224-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "MICHELLE",
        "middle_name": "NIXON",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "3711",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 5, 2013; 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.