Active NPI
Paul Daniel Warner IV, DPT
- Physical Therapist
- Searcy, AR
National Provider Identifier
1225639636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4528
- Practice address
- 1120 S Main St
Searcy, AR 72143-7319 - Phone
- (501) 207-4700
- NPI assigned
- Nov 3, 2020
- 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 | 4528 | AR | Primary |
Addresses
Primary practice location
1120 S Main St
Searcy, AR 72143-7319
Mailing address
1120 S Main St
Searcy, AR 72143-7319
Phone (501) 207-4700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | paul.warner@va.gov |
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 |
|---|---|---|---|
| 4528 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1225639636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S MAIN ST",
"city": "SEARCY",
"state": "AR",
"postal_code": "721437319",
"telephone_number": "501-207-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S MAIN ST",
"city": "SEARCY",
"state": "AR",
"postal_code": "721437319",
"telephone_number": "501-207-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "PAUL",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4528",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "paul.warner@va.gov",
"affiliation": "N",
"endpointDescription": "government email",
"address_1": "1120 S Main St",
"city": "Searcy",
"state": "AR",
"country_code": "US",
"postal_code": "721437319",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.