NPIMap

Organization Active NPI

MCH Physical Therapy Clinic, Inc.

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1285611731
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 613 Issued in AR
Legal business name
MCH PHYSICAL THERAPY CLINIC, INC.
Practice address
1 Treasure Hill Rd
Little Rock, AR 72205-2219
Phone
(501) 223-8996
Fax
(501) 223-8998
NPI assigned
Dec 27, 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
Cecelia Renee Crater, PTNPI 1245243849
Title
Owner/Physical Therapist
Phone
(501) 223-8996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 613 AR Primary

Addresses

Primary practice location

1 Treasure Hill Rd
Little Rock, AR 72205-2219

Mailing address

1 Treasure Hill Rd
Little Rock, AR 72205-2219
Phone (501) 223-8996

National Provider Directory

National Provider Directory

Locations

1 Treasure Hill Rd
Little Rock, AR 72205
Phone (501) 223-8996

300 S Rodney Parham Rd
Ste 5
Little Rock, AR 72205
Phone (501) 223-8996

Practitioners & affiliated clinicians

Practitioners 4

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": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285611731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TREASURE HILL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052219",
            "telephone_number": "501-223-8996",
            "fax_number": "501-223-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TREASURE HILL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052219",
            "telephone_number": "501-223-8996",
            "fax_number": "501-223-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCH PHYSICAL THERAPY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRATER",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "501-223-8996",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 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.