NPIMap

Organization Active NPI

Greenwood Physical Therapy Center, Inc.

Doing business as Greenwood Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Greenwood, AR
National Provider Identifier
1275515959
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT2692 Issued in AR
Legal business name
GREENWOOD PHYSICAL THERAPY CENTER, INC.
Doing business as
Greenwood Physical Therapy Center
Practice address
515 Forrest Park Way
Greenwood, AR 72936-5955
Phone
(479) 996-5078
Fax
(479) 996-5079
NPI assigned
Nov 17, 2005
Last updated
Apr 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Dr. Patrick Brian McClain, DPT
Title
President/Owner
Phone
(479) 996-5078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT2692 AR Primary

Addresses

Primary practice location

515 Forrest Park Way
Greenwood, AR 72936-5955

Mailing address

515 Forrest Park Way
Greenwood, AR 72936-5955
Phone (479) 996-5078

Other names 1

  • Greenwood Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

515 Forrest Park Way
Greenwood, AR 72936
Phone (479) 597-8318

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1275515959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 FORREST PARK WAY",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729365955",
            "telephone_number": "479-996-5078",
            "fax_number": "479-996-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 FORREST PARK WAY",
            "city": "GREENWOOD",
            "state": "AR",
            "postal_code": "729365955",
            "telephone_number": "479-996-5078",
            "fax_number": "479-996-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD PHYSICAL THERAPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "479-996-5078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT2692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.