Fort Smith Physical Therapy Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FORT SMITH PHYSICAL THERAPY CENTER

Practice address

318 N Greenwood Ave
Fort Smith, AR 72901-3454

Phone

(479) 806-8606

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

Joshua Wade, PTA

Title

Owner

Phone

(479) 806-8606

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Victor Pharis, DPT

  • Physical Therapist
  • Fort Smith, AR
  • NPI 1760959803
  NPD (past)
• Josh Wade, PTA

  • Physical Therapy Assistant
  • Fort Smith, AR
  • NPI 1194200675
  NPD (past)

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1275018954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013454",
            "telephone_number": "479-806-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013454",
            "telephone_number": "479-806-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT SMITH PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-806-8606",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Smith Hma, LLC (Sparks Regional Medical Center Psych)
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• Fort Smith Medical Center LLC
• Fort Smith Neuroscience Center, PLLC.
• Fort Smith Oral & Maxillofacial Surgery Group PA-Curry and Butler
• Fort Smith Public Schools
• Fort Smith Radiation Oncology
• Fort Smith Regional Dialysis Center LLC
• Fort Smith Regional Dialysis Center LLC
• Fort Smith School District 100

• Physical Therapy Clinic/Center in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Physical Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.