NPIMap

Organization Active NPI

Brian Kent DPT PLLC

Doing business as Optimal Therapy of NWA

  • Physical Therapy Clinic/Center
  • Rogers, AR
National Provider Identifier
1295372282
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BRIAN KENT DPT PLLC
Doing business as
Optimal Therapy of NWA
Practice address
3612 W Southern Hills Blvd Ste 6
Rogers, AR 72758-8231
Phone
(501) 231-3821
Fax
(479) 755-9993
NPI assigned
Dec 9, 2019
Last updated
Jun 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Dr. Brian Kent, PT, DPTNPI 1588997746
Title
Provider/Owner
Phone
(501) 231-3821

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

3612 W Southern Hills Blvd Ste 6
Rogers, AR 72758-8231

Mailing address

3612 W Southern Hills Blvd Ste 6
Rogers, AR 72758-8231
Phone (479) 621-8008

Other names 1

  • Optimal Therapy of NWA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191127001157 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8628401957 Receives reassigned benefits from 4 practitioners
Practice locations: Eureka Springs, AR; Huntsville, AR; Rogers, AR

National Provider Directory

National Provider Directory

Locations

3612 W Southern Hills Blvd
Ste 6
Rogers, AR 72758
Phone (479) 621-8008

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": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1295372282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 W SOUTHERN HILLS BLVD STE 6",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588231",
            "telephone_number": "479-621-8008",
            "fax_number": "479-755-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 W SOUTHERN HILLS BLVD STE 6",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588231",
            "telephone_number": "501-231-3821",
            "fax_number": "479-755-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN KENT DPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "501-231-3821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Therapy of NWA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Therapy of NWA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.