Agape Therapy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2060 Issued in AR

Legal business name

AGAPE THERAPY SERVICES

Practice address

145 Belle Aire CT
Monticello, AR 71655-3852

Phone

(870) 866-5981

Fax

(870) 460-0946

NPI assigned

Apr 7, 2007

Last updated

Jul 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evelyn Salvador De Rueda, P.T.NPI 1225126105

Title

Owner

Phone

(870) 866-5981

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Evelyn Salvador De Rueda, P.T.

  • Physical Therapist
  • Monticello, AR
  • NPI 1225126105
  NPD (past) Authorized official

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1245353127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BELLE AIRE CT",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716553852",
            "telephone_number": "870-866-5981",
            "fax_number": "870-460-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 BELLE AIRE CT",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716553852",
            "telephone_number": "870-866-5981",
            "fax_number": "870-460-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "DE RUEDA",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18708665981",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161197742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Monticello, AR
• Providers in Monticello, 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 14, 2008; 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.