Active NPI
Justin Allen Vanlandingham
- Physical Therapist
- Lonoke, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3552
- Practice address
- 1515 N Center St
Suite 5
Lonoke, AR 72086-2101 - Phone
- (501) 676-5540
- Fax
- (501) 676-6499
- NPI assigned
- Nov 12, 2012
- Last updated
- Nov 12, 2012
- Sex
- Male
- Sole proprietor
- No
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 | PT3552 | AR | Primary |
Addresses
Primary practice location
1515 N Center St
Suite 5
Lonoke, AR 72086-2101
Mailing address
1515 N Center St
Suite 5
Lonoke, AR 72086-2101
Phone (501) 676-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic, PC | Current | Accepting new patients | |
| Campbell Clinic PC | Current | Accepting new patients | |
| Arkansas Health & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Lonoke Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| CC Bpci PLC | Past | Accepting new patients |
Locations
1515 N Center St
Ste 5
Lonoke, AR 72086
Phone (501) 676-5540
7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- justin.vanlandingham.1@1366.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.
-
dba Lonoke Physical Therapy
- Physical Therapist
- Lonoke, AR
- NPI 1679140651
-
- Physical Therapy Clinic/Center
- Lonoke, AR
- NPI 1992706477
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Carthage, TN
- NPI 1669366068
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1194069351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N CENTER ST",
"address_2": "SUITE 5",
"city": "LONOKE",
"state": "AR",
"postal_code": "720862101",
"telephone_number": "501-676-5540",
"fax_number": "501-676-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N CENTER ST",
"address_2": "SUITE 5",
"city": "LONOKE",
"state": "AR",
"postal_code": "720862101",
"telephone_number": "501-676-5540",
"fax_number": "501-676-6499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANLANDINGHAM",
"first_name": "JUSTIN",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-12",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lonoke, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.