Organization Active NPI

Lymphatic Therapy Inc

  • Physical Therapist
  • Fort Smith, AR
National Provider Identifier
1255398905
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LYMPHATIC THERAPY INC
Practice address
6000 Meadow Brook Dr
Fort Smith, AR 72916-9115
Phone
(479) 782-1900
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Willadean Claudette Clowe, RPT
Title
Physical Therapist
Phone
(479) 782-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6000 Meadow Brook Dr
Fort Smith, AR 72916-9115

Mailing address

6000 Meadow Brook Dr
Fort Smith, AR 72916-9115
Phone (479) 782-7900

National Provider Directory

National Provider Directory

Locations

2912 Rogers Ave
Ste C
Fort Smith, AR 72901
Phone (479) 782-1900

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1255398905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MEADOW BROOK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169115",
            "telephone_number": "479-782-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEADOW BROOK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169115",
            "telephone_number": "479-782-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHATIC THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "CLOWE",
        "authorized_official_first_name": "WILLADEAN",
        "authorized_official_middle_name": "CLAUDETTE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "479-782-1900",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.