Individual provider Active NPI

Kristopher Kyle Tharp, PT, DPT

  • Physical Therapist
  • Sulphur Rock, AR
National Provider Identifier
1174330989
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3768 Issued in AR
Practice address
551 Cedar Grove Rd
Sulphur Rock, AR 72579-8008
Phone
(870) 307-8877
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3768 AR Primary

Addresses

Primary practice location

551 Cedar Grove Rd
Sulphur Rock, AR 72579-8008

Mailing address

551 Cedar Grove Rd
Sulphur Rock, AR 72579-8008
Phone (870) 307-8877

Other names 1

  • Kris Kyle Tharp Other name

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

LicenseStateTypeSpecialty
PT3768ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Therapy Services PLLC Physical Therapist CurrentSince Dec 22, 2024 Accepting new patients

Organizations & group practices 1

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1174330989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 CEDAR GROVE RD",
            "city": "SULPHUR ROCK",
            "state": "AR",
            "postal_code": "725798008",
            "telephone_number": "870-307-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 CEDAR GROVE RD",
            "city": "SULPHUR ROCK",
            "state": "AR",
            "postal_code": "725798008",
            "telephone_number": "870-307-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "KRISTOPHER",
        "middle_name": "KYLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "THARP",
            "middle_name": "KYLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sulphur Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.