Performance Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PERFORMANCE PHYSICAL THERAPY, PLLC

Practice address

806 Calvert Rd
Forrest City, AR 72335-1914

Phone

(870) 270-5117

NPI assigned

Jul 26, 2010

Organization subpart

No

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

Authorized official

Name

Joseph B Southerland, PT

Title

Owner

Phone

(870) 270-7954

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1225341860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 CALVERT RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723351914",
            "telephone_number": "870-270-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 CALVERT RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723351914",
            "telephone_number": "870-270-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "SOUTHERLAND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-270-7954",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182060742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Patton, MHPP
• Susan Patton, A.P.N.,DNSC.
• William C Patton, M.D.
• Pediatric Dentistry of Eastern Arkansas
• People Advocating Transition
• Donald R Perkins, D.D.S.
• Kelsi Peterson
• Amy Pettus, RN
• Richard Phillips
• PHPH, LLC (Price Harris Pharmacy)

• Physical Therapist in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.