Samuel Willibey, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5211 Issued in AR

Practice address

4261 Stockton Dr Ste 100
North Little Rock, AR 72117-2966

Phone

(501) 526-5451

Fax

(501) 526-5823

NPI assigned

Aug 23, 2022

Last updated

Jul 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthoarkansas PAGroup PAC ID 1456256031, 148 clinicians

University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthoarkansas, PA

  • Specialist
  • Little Rock, AR
  • NPI 1952336869
  Medicare reassignment Care Compare group NPD
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment Care Compare group NPD
• Orthoarkansas, PA

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Little Rock, AR
  • NPI 1891454898
  NPD
• University of Arkansas for Medical Science

  • Otolaryngology Physician
  • Conway, AR
  • NPI 1760058895
  NPD
• University of Arkansas for Medical Sciences

  • Family Medicine Physician
  • El Dorado, AR
  • NPI 1023795051
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1265151393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 STOCKTON DR STE 100",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172966",
            "telephone_number": "501-526-5451",
            "fax_number": "501-526-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Fair Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722041720",
            "country_code": "US",
            "telephone_number": "501-404-8007",
            "fax_number": "501-904-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIBEY",
        "first_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shara Williams
• Tonie Brenee' Williams, LCSW
• Trevon Williams
• Tristina Williams, LAC
• Delaney Willibey, OTR
• Tangela Edwina Willis
• Ahren Wilson
• Ashley Wilson
• Joanne M Wilson, A.P.N.
• Lisa Jean Wilson, CRC

• Physical Therapist in North Little Rock, AR
• Providers in North Little Rock, 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 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.