Active NPI
Vicky Lynn Arnold, PTA
- Physical Therapy Assistant
- Spiro, OK
National Provider Identifier
1154694073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1448
- Practice address
- 21538 Highline Rd
Spiro, OK 74959-3856 - Phone
- (479) 883-6506
- NPI assigned
- Feb 23, 2012
- 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 Therapy Assistant | 225200000X | 1448 | AR | Primary |
Addresses
Primary practice location
21538 Highline Rd
Spiro, OK 74959-3856
Mailing address
21538 Highline Rd
Spiro, OK 74959-3856
Phone (479) 883-6506
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 |
|---|---|---|---|
| 1448 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330560000000",
"number": "1154694073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21538 HIGHLINE RD",
"city": "SPIRO",
"state": "OK",
"postal_code": "749593856",
"telephone_number": "479-883-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21538 HIGHLINE RD",
"city": "SPIRO",
"state": "OK",
"postal_code": "749593856",
"telephone_number": "479-883-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "VICKY",
"middle_name": "LYNN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2012-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "1448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spiro, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.