Professional for Agility Care LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PROFESSIONAL FOR AGILITY CARE LLC

Practice address

212 S Lincoln St
Ste D
Lowell, AR 72745-9782

Phone

(870) 704-9800

Fax

(479) 770-5656

NPI assigned

Jan 19, 2011

Last updated

Jan 19, 2011By 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

Angelila M Bejerano

Title

Administrative Officer

Phone

(870) 704-9800

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Henry Deguzman Adamos, LPT

  • Physical Therapist
  • Harrison, AR
  • NPI 1922083534
  NPD (past)
• Shawn Christopher Adams, P.T., DPT

  • Physical Therapist
  • Fayetteville, AR
  • NPI 1912065012
  NPD (past)

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1265737548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726020861",
            "telephone_number": "870-704-9800",
            "fax_number": "479-770-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S LINCOLN ST",
            "address_2": "STE D",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459782",
            "telephone_number": "870-704-9800",
            "fax_number": "479-770-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FOR AGILITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "BEJERANO",
        "authorized_official_first_name": "ANGELILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "870-704-9800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Marie Poteat
• Precision Health Care, Inc
• Precision Healthcare, Inc. Arkansas
• Present Day Health PA
• Dean B Priest Jr., MD
• Providential Home Care of Nwa LLC (Providential Home Care)
• Johanna Puff
• Ma Helena Garcia Quimbo, PT
• Raffy Laja Quimbo, PT
• Carrie L Rampey

• Physical Therapist in Lowell, AR
• Providers in Lowell, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.