NPIMap

Organization Active NPI

Little Rock Physical Medicine and Rehablitation

  • Cardiopulmonary Physical Therapist
  • Little Rock, AR
National Provider Identifier
1164684080
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiopulmonary Physical TherapistTaxonomy code 2251C2600X
Legal business name
LITTLE ROCK PHYSICAL MEDICINE AND REHABLITATION
Practice address
11400A Huron LN
Little Rock, AR 72211-1847
Phone
(501) 588-4478
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. David Baker
Title
Manager
Phone
(501) 588-4478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiopulmonary Physical Therapist 2251C2600X NU Primary

Addresses

Primary practice location

11400A Huron LN
Little Rock, AR 72211-1847

Mailing address

11400A Huron LN
Little Rock, AR 72211-1847

National Provider Directory

National Provider Directory
Tax ID family
Little Rock Physical Medicine Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11400A Huron Ln
Little Rock, AR 72211
Phone (501) 223-9775

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1164684080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400A HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400A HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111847",
            "telephone_number": "501-588-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK PHYSICAL MEDICINE AND REHABLITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-588-4478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.