NPIMap

Individual provider Active NPI

Michael Edward McFarland, PT, DPT

  • Physical Therapist
  • Bentonville, AR
National Provider Identifier
1154676344
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5106 Issued in AR
Practice address
1800 SE Moberly LN Ste 6
Bentonville, AR 72712-7017
Phone
(479) 715-6330
Fax
(479) 268-5144
NPI assigned
Jul 13, 2012
Last updated
May 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305207450 VA
Physical Therapist 225100000X 5106 AR
Physical Therapist 225100000X PT5106 AR Primary

Addresses

Primary practice location

1800 SE Moberly LN Ste 6
Bentonville, AR 72712-7017

Mailing address

1800 SE Moberly LN Ste 6
Bentonville, AR 72712-7017
Phone (479) 715-6330

Other practice location 1

9 Manhattan Sq
Suite B
Hampton, VA 23666-6262
Phone (757) 825-3400

Other identifiers 3

IdentifierTypeStateIssuer
C05954OtherVAGROUP MEDICARE PTAN
P01232661OtherVAMEDICARE RR PTAN
1154676344MedicaidVA

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
5106ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy LLC Physical Therapist Past Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michael.mcfarland.1@18403.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1154676344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE MOBERLY LN STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127017",
            "telephone_number": "479-715-6330",
            "fax_number": "479-268-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE MOBERLY LN STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127017",
            "telephone_number": "479-715-6330",
            "fax_number": "479-268-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Manhattan Sq",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236666262",
            "country_code": "US",
            "telephone_number": "757-825-3400",
            "fax_number": "757-825-0392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFARLAND",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207450",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5106",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "C05954",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "P01232661",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154676344",
            "state": "VA"
        }
    ],
    "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 May 2, 2022; 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.