Individual provider Active NPI

Neal Hargett Clay III

  • Physical Therapist
  • Bella Vista, AR
National Provider Identifier
1134837974
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-010234 Issued in AZ
Practice address
14 Boyce LN
Bella Vista, AR 72715-8752
Phone
(360) 339-0818
NPI assigned
Nov 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 LPT-010234 AZ Primary

Addresses

Primary practice location

14 Boyce LN
Bella Vista, AR 72715-8752

Mailing address

14 Boyce LN
Bella Vista, AR 72715-8752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221201000402 AR Practitioner - Physical Therapist in Private Practice 0345618948 Reassigns benefits to 2 organizations
I20221221000948 AZ Practitioner - Physical Therapist in Private Practice 0345618948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Stein Ancillary Services, LLCGroup PAC ID 1153374046, 11 clinicians

Practice addresses (Care Compare)

1 Concordia Dr
Bella Vista, AR 72715-8401
Phone (479) 268-4713

1967 W Truckers Dr
Fayetteville, AR 72704-5637
Phone (479) 300-1626

2200 W Laurel Ave
Rogers, AR 72758-5086
Phone (479) 278-2646

3800 SW Mount Carmel Dr
Bentonville, AR 72713-1012
Phone (479) 268-3207

650 S Dodson Rd
Rogers, AR 72758-7015
Phone (479) 250-9832

672 Jones Rd
Springdale, AR 72762-0677
Phone (479) 334-5335

722 Phillips PL
Huntsville, AR 72740-9517
Phone (479) 738-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-010234AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Nov 17, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Nov 17, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Nov 17, 2022 Accepting new patients
Stein Ancillary Services, LLC Physical Therapist CurrentSince Jan 26, 2026 Accepting new patients

Locations

8520 S 36th Ter
Fort Smith, AR 72908
Phone (479) 410-1740

722 Phillips Pl
Huntsville, AR 72740
Phone (479) 420-7846

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

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": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1134837974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BOYCE LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BOYCE LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158752",
            "telephone_number": "360-339-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "NEAL",
        "middle_name": "HARGETT",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-010234",
            "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 Nov 10, 2022; 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.