Pelvic Roots Physical Therapy PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PELVIC ROOTS PHYSICAL THERAPY PLLC

Practice address

1013 Chancery LN
Cave Springs, AR 72718-9104

Phone

(214) 232-4169

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Danielle Khoury, DPTNPI 1316442494

Title

Owner

Phone

(214) 232-4169

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Khoury, DPT

  • Orthopedic Physical Therapist
  • Cave Springs, AR
  • NPI 1316442494
  Medicare reassignment Care Compare group NPD Authorized official
• Kelsey Grainger, DPT, PT

  • Physical Therapist
  • Fayetteville, AR
  • NPI 1144996166
  Medicare reassignment Care Compare group NPD
• Megan Evelyn Mayo James, PT, DPT

  • Physical Therapist
  • Fayetteville, AR
  • NPI 1134871254
  Medicare reassignment Care Compare group NPD
• Jessica Ashley Tuell, DPT

  • Physical Therapist
  • Fayetteville, AR
  • NPI 1427776277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1235844515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 CHANCERY LN",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727189104",
            "telephone_number": "214-232-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CHANCERY LN",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "727189104",
            "telephone_number": "214-232-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC ROOTS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-232-4169",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316442494",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenzie Katherine Lynch
• Main Street Endocrinology, PLLC (Main Street Medical Associates)
• Leah Ashley Maldonado
• Tammy Lynn Neil, PH.D.
• Ashley Elizabeth Nixon, MS, CCC-SLP
• Adam L Pruitt
• Charles Gilbert Rippey
• Margaret Robertson
• Emma Morgan Scholtes
• Cynthia Ann Shaw, MSN, CNM, APRN

• Orthopedic Physical Therapist in Cave Springs, AR
• Providers in Cave Springs, AR by specialty
• Orthopedic Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.