Active NPI
Marc Steve Espanola
- Physical Therapist
- Blytheville, AR
National Provider Identifier
1184808420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3038
- Practice address
- 4407 Amarillo St
Blytheville, AR 72315-5702 - Phone
- (870) 532-2229
- NPI assigned
- Dec 21, 2007
- Last updated
- Dec 21, 2007
- Sex
- Male
- 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 | PT3038 | AR | Primary |
Addresses
Primary practice location
4407 Amarillo St
Blytheville, AR 72315-5702
Mailing address
500 Madison St
Apt E
Blytheville, AR 72315-2610
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 |
|---|---|---|---|
| PT3038 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomorrows Child Learning Center, LLC | Past | Accepting new patients | |
| Tomorrows Child Learning Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Exclusive Provider Organization
- Blytheville, AR
- NPI 1275744773
-
- Exclusive Provider Organization
- Blytheville, AR
- NPI 1922112390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1184808420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MADISON ST",
"address_2": "APT E",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 AMARILLO ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723155702",
"telephone_number": "870-532-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPANOLA",
"first_name": "MARC STEVE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.