Active NPI
Donald Eugene Litchford, LPTA
- Physical Therapy Assistant
- Fayetteville, AR
National Provider Identifier
1154519684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA2219
- Practice address
- 3419 N Plainview Ave
Fayetteville, AR 72703-4065 - Phone
- (479) 521-4001
- Fax
- (479) 521-1621
- NPI assigned
- Oct 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA2219 | AR | Primary |
Addresses
Primary practice location
3419 N Plainview Ave
Fayetteville, AR 72703-4065
Mailing address
PO Box 8475
Fayetteville, AR 72703-0008
Phone (479) 252-0084
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA2219 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Bridges Therapy Center | Physical Therapy Assistant | Past | Accepting new patients |
| Meyer Pediatric Therapy Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Assistant
- Fayetteville, AR
- NPI 1477508224
Physical Therapy Assistant
-
- Occupational Therapist
- Rogers, AR
- NPI 1235186701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200009600000",
"number": "1154519684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8475",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030008",
"telephone_number": "479-252-0084",
"fax_number": "479-521-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3419 N PLAINVIEW AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034065",
"telephone_number": "479-521-4001",
"fax_number": "479-521-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITCHFORD",
"first_name": "DONALD",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LPTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-10",
"last_updated": "2008-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA2219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.