Individual provider Active NPI

Haley Mourot

  • Orthopedic Physical Therapist
  • Morrilton, AR
National Provider Identifier
1275933772
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3899 Issued in AR
Practice address
100 Walmart Dr Ste 5
Morrilton, AR 72110-4525
Phone
(501) 477-2202
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3899 AR Primary

Addresses

Primary practice location

100 Walmart Dr Ste 5
Morrilton, AR 72110-4525

Mailing address

14 Matthews Dr
Oppelo, AR 72110-4632

Other identifiers 1

IdentifierTypeStateIssuer
205558721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141121001236 AR Practitioner - Physical Therapist in Private Practice 4587886874 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3899ARMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Physical Therapy, Inc Orthopedic CurrentSince May 13, 2023 Accepting new patients
River Valley Therapy & Sports Medicine Inc Orthopedic CurrentSince Mar 1, 2024 Accepting new patients
Charton Physical Therapy, Inc. Orthopedic CurrentSince Aug 25, 2014 Accepting new patients

Locations

100 Walmart Dr
Ste 5
Morrilton, AR 72110
Phone (501) 477-2202

1703 W Main St
#A
Russellville, AR 72801
Phone (479) 567-5754

2100 W Main St
Russellville, AR 72801
Phone (479) 968-2525

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1275933772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MATTHEWS DR",
            "city": "OPPELO",
            "state": "AR",
            "postal_code": "721104632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALMART DR STE 5",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104525",
            "telephone_number": "501-477-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUROT",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205558721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.