Grove Street Physical Therpay Clinic & Rehab SVCS Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GROVE STREET PHYSICAL THERPAY CLINIC & REHAB SVCS INC

Practice address

203 W Grove St
El Dorado, AR 71730-4646

Phone

(870) 862-4042

Fax

(870) 864-0218

NPI assigned

Jan 24, 2006

Last updated

Aug 22, 2020By 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

Mrs. Suzy G Burson

Title

President

Phone

(870) 862-4042

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Rhonda Ann Cardin, P.T.

  • Physical Therapist
  • El Dorado, AR
  • NPI 1659463586
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275503278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304646",
            "telephone_number": "870-862-4042",
            "fax_number": "870-864-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304646",
            "telephone_number": "870-862-4042",
            "fax_number": "870-864-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE STREET PHYSICAL THERPAY CLINIC & REHAB SVCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURSON",
        "authorized_official_first_name": "SUZY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-862-4042",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE CROSS B/S",
            "identifier": "5C239",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Smart Family Practice
• Gregg L Massanelli Mdpa
• Allison Walker Griffin, MS, CCC-SLP
• Beverly Griggs
• Mary Katrina Gross, MOTR/L
• Kelsey Noel Groves, PHARMD
• Candance Marie Guinn, PMHNP-BC, APRN-CNP
• John Andrew Guinn, APRN
• Tammie Gunter
• H K Reddy, MD

• Physical Therapy Clinic/Center in El Dorado, AR
• Providers in El Dorado, 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 Aug 22, 2020; 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.