NPIMap

Organization Active NPI

Little Angels Therapy and Women's Wellness Center, Inc.

  • Pediatric Physical Therapist
  • Clarksville, AR
National Provider Identifier
1295952141
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
LITTLE ANGELS THERAPY AND WOMEN'S WELLNESS CENTER, INC.
Practice address
310 W Main St
Clarksville, AR 72830-3012
Phone
(479) 754-4060
NPI assigned
Apr 20, 2007
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mrs. Consuella Roxanne Flurry, PTNPI 1447282850
Title
Owner, Physical Therapist
Phone
(479) 754-4060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X

Addresses

Primary practice location

310 W Main St
Clarksville, AR 72830-3012

Mailing address

310 W Main St
Clarksville, AR 72830-3012
Phone (479) 754-4060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000730 AR Part B Supplier - Clinic/Group Practice 0446418131 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, AR

National Provider Directory

National Provider Directory

Locations

112 S Fulton St
Clarksville, AR 72830
Phone (479) 746-4260

310 W Main St
Clarksville, AR 72830
Phone (479) 754-4060

Practitioners & affiliated clinicians

Practitioners 10

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1295952141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303012",
            "telephone_number": "479-754-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303012",
            "telephone_number": "479-754-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGELS THERAPY AND WOMEN'S WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "FLURRY",
        "authorized_official_first_name": "CONSUELLA",
        "authorized_official_middle_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "479-754-4060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.