Organization Active NPI

Workplace Physical Therapy

  • Physical Therapist
  • North Little Rock, AR
National Provider Identifier
1275628950
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2200 Issued in AR
Legal business name
WORKPLACE PHYSICAL THERAPY
Doing business as
Delta Physical Therapy
Practice address
825 Trammel Rd
North Little Rock, AR 72117-2155
Phone
(501) 833-2675
Fax
(501) 833-0325
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Van H Davis, MSPT
Title
President
Phone
(501) 833-2675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 2200 AR Primary

Addresses

Primary practice location

825 Trammel Rd
North Little Rock, AR 72117-2155

Mailing address

PO Box 6253
Sherwood, AR 72124-6253
Phone (501) 833-2675

Other identifiers 2

IdentifierTypeStateIssuer
154767742MedicaidAR
142776721MedicaidAR

Other names 1

  • Delta Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

107 N Jackson St
Cabot, AR 72023
Phone (501) 663-1211

2725 Cantrell Rd
Ste 107
Little Rock, AR 72202
Phone (501) 663-1211

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1275628950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721246253",
            "telephone_number": "501-833-2675",
            "fax_number": "501-833-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 TRAMMEL RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172155",
            "telephone_number": "501-833-2675",
            "fax_number": "501-833-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKPLACE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-833-2675",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154767742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142776721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.