Active NPI
Alaina Michelle Perry, PTA
- Specialist
- Clarksville, AR
National Provider Identifier
1194123661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PTA 3858
- Practice address
- 112 S Fulton St
Clarksville, AR 72830-3612 - Phone
- (479) 754-4060
- NPI assigned
- Dec 15, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PTA 3858 | AR | Primary |
Addresses
Primary practice location
112 S Fulton St
Clarksville, AR 72830-3612
Mailing address
112 S Fulton St
Clarksville, AR 72830-3612
Phone (479) 754-4060
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 |
|---|---|---|---|
| PTA 3858 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Angels Therapy and Women'S Wellness Center, Inc. | Past | 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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Clarksville, AR
- NPI 1295952141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1194123661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S FULTON ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728303612",
"telephone_number": "479-754-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S FULTON ST",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728303612",
"telephone_number": "479-754-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ALAINA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "PTA 3858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.