Active NPI
Southeast Arkansas Physical Therapy, Inc.
- Physical Therapist
- Pine Bluff, AR
National Provider Identifier
1245293950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- SOUTHEAST ARKANSAS PHYSICAL THERAPY, INC.
- Practice address
- 2801 S Olive St
Suite 9D
Pine Bluff, AR 71603-5439 - Phone
- (870) 541-0003
- Fax
- (870) 541-0008
- NPI assigned
- Apr 11, 2006
- Last updated
- Dec 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steve R Hornbeck, P.T.
- Title
- President
- Phone
- (870) 541-0003
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
2801 S Olive St
Suite 9D
Pine Bluff, AR 71603-5439
Mailing address
2801 S Olive St
Suite 9D
Pine Bluff, AR 71603-5439
Phone (870) 541-0003
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7099039 | Other | AR | AETNA |
| 135098742 | Medicaid | AR | |
| 147503400 | Other | AR | DEPT OF LABOR |
| CB6528 | Other | AR | MEDICARE RAILROAD |
| 5C236 | Other | AR | HEALTH ADVANTAGE |
| 5C236 | Other | AR | BLUE CROSS BLUE SHIELD |
| 6420055 | Other | AR | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2801 S Olive St
Ste 9D
Pine Bluff, AR 71603
Phone (870) 541-0003
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Pine Bluff, AR
- NPI 1326003435
-
- Physical Therapist
- Pine Bluff, AR
- NPI 1568583755
-
- Physical Therapist
- Pine Bluff, AR
- NPI 1093770109
-
- Physical Therapist
- Pine Bluff, AR
- NPI 1114242740
-
- Physical Therapist
- Little Rock, AR
- NPI 1619902574
-
- Physical Therapy Assistant
- Pine Bluff, AR
- NPI 1801931738
-
- Physical Therapist
- Pine Bluff, AR
- NPI 1497711014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355270400000",
"number": "1245293950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 S OLIVE ST",
"address_2": "SUITE 9D",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035439",
"telephone_number": "870-541-0003",
"fax_number": "870-541-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 S OLIVE ST",
"address_2": "SUITE 9D",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035439",
"telephone_number": "870-541-0003",
"fax_number": "870-541-0008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST ARKANSAS PHYSICAL THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2012-12-12",
"status": "A",
"authorized_official_last_name": "HORNBECK",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-541-0003",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7099039",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135098742",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "147503400",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CB6528",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE",
"identifier": "5C236",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5C236",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6420055",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
- Southeast Arkansas Emergency Physicians LLP
- Southeast Arkansas Emergency Physicians LLP
- Southeast Arkansas Hospice LTD Co
- Southeast Arkansas Hospitalists, LLP
- Southeast Arkansas Oncology, PA (Arkansas Cancer Institute of Pine Bluff)
- Southeast Arkansas Preparatory High School
- Southeast Arkansas Primary Care Associates
- Southern Medical Associates, PLLC
- Anja Spadoni, MHPP
- Kimberly M Spivey, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.