Active NPI
Melanie Hill
- Physical Therapist
- Benton, AR
National Provider Identifier
1154667624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2489
- Practice address
- 17706 I-30
Ste. 3
Benton, AR 72019-2907 - Phone
- (501) 315-4414
- Fax
- (870) 315-0075
- NPI assigned
- Jan 2, 2013
- Sex
- Female
- 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 Therapist | 225100000X | PT 2489 | AR | Primary |
Addresses
Primary practice location
17706 I-30
Ste. 3
Benton, AR 72019-2907
Mailing address
17706 I-30
Ste. 3
Benton, AR 72019-2907
Phone (501) 315-4414
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 |
|---|---|---|---|
| PT 2489 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362614400000",
"number": "1154667624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17706 I-30",
"address_2": "STE. 3",
"city": "BENTON",
"state": "AR",
"postal_code": "720192907",
"telephone_number": "501-315-4414",
"fax_number": "870-315-0075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17706 I-30",
"address_2": "STE. 3",
"city": "BENTON",
"state": "AR",
"postal_code": "720192907",
"telephone_number": "501-315-4414",
"fax_number": "870-315-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "MELANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2013-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 2489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.