Individual provider Active NPI

Danny Nicholas Neighbors, PTA

  • Physical Therapy Assistant
  • Bentonville, AR
National Provider Identifier
1144729906
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
3800 Issued in AR
Practice address
1002 Westpark Dr
Bentonville, AR 72712-4173
Phone
(479) 250-4014
Fax
(479) 250-4015
NPI assigned
Feb 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 3800 AR Primary

Addresses

Primary practice location

1002 Westpark Dr
Bentonville, AR 72712-4173

Mailing address

1002 Westpark Dr
Bentonville, AR 72712-4173
Phone (479) 250-4014

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3800ARMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1144729906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 WESTPARK DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124173",
            "telephone_number": "479-250-4014",
            "fax_number": "479-250-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WESTPARK DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124173",
            "telephone_number": "479-250-4014",
            "fax_number": "479-250-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIGHBORS",
        "first_name": "DANNY",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.