Active NPI
Charles Lester Wray
- Physical Therapist
- Hot Springs, AR
National Provider Identifier
1225188550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT690
- Practice address
- 400 Linwood Ave
Hot Springs, AR 71913-3749 - Phone
- (501) 623-7421
- Fax
- (501) 620-7847
- NPI assigned
- Jan 11, 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 | PT690 | AR | Primary |
Addresses
Primary practice location
400 Linwood Ave
Hot Springs, AR 71913-3749
Mailing address
400 Linwood Ave
Hot Springs, AR 71913-3749
Phone (501) 623-7421
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 |
|---|---|---|---|
| PT690 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hot Springs School District | 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.
-
- Local Education Agency (LEA)
- Hot Springs, AR
- NPI 1235289570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225188550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LINWOOD AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719133749",
"telephone_number": "501-623-7421",
"fax_number": "501-620-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LINWOOD AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719133749",
"telephone_number": "501-623-7421",
"fax_number": "501-620-7847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "CHARLES",
"middle_name": "LESTER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.