NPIMap

Organization Active NPI

Glenwood Physical Therapy Center, Inc.

  • Clinic/Center
  • Glenwood, AR
National Provider Identifier
1275514838
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GLENWOOD PHYSICAL THERAPY CENTER, INC.
Practice address
253 Highway 70 E
Suite D
Glenwood, AR 71943-8801
Phone
(870) 356-6044
Fax
(870) 356-6045
NPI assigned
Nov 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Todd Wilson George, M.P.T.
Title
President
Phone
(870) 356-6044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

253 Highway 70 E
Suite D
Glenwood, AR 71943-8801

Mailing address

253 Highway 70 E
Suite D
Glenwood, AR 71943-8801
Phone (870) 356-6044

Other identifiers 1

IdentifierTypeStateIssuer
5C799OtherARARKANSAS BCBS

National Provider Directory

National Provider Directory

Locations

253 Highway 70 E
Ste D
Glenwood, AR 71943
Phone (870) 356-6044

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275514838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 HIGHWAY 70 E",
            "address_2": "SUITE D",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719438801",
            "telephone_number": "870-356-6044",
            "fax_number": "870-356-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 HIGHWAY 70 E",
            "address_2": "SUITE D",
            "city": "GLENWOOD",
            "state": "AR",
            "postal_code": "719438801",
            "telephone_number": "870-356-6044",
            "fax_number": "870-356-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENWOOD PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-356-6044",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5C799",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, AR

Sources for this page

  • 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.