Organization Active NPI

Ozark Agility Professionals LLC

  • Physical Therapist
  • Harrison, AR
National Provider Identifier
1336477603
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OZARK AGILITY PROFESSIONALS LLC
Practice address
816 N Main St
Harrison, AR 72601-2915
Phone
(870) 577-7388
Fax
(870) 743-5974
NPI assigned
Nov 25, 2009
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Norma Lee Sebag-Stockstill
Title
Office Manager
Phone
(870) 577-7388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

816 N Main St
Harrison, AR 72601-2915

Mailing address

PO Box 841
Harrison, AR 72602-0841
Phone (870) 577-7388

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1336477603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726020841",
            "telephone_number": "870-577-7388",
            "fax_number": "870-743-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012915",
            "telephone_number": "870-577-7388",
            "fax_number": "870-743-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK AGILITY PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "SEBAG-STOCKSTILL",
        "authorized_official_first_name": "NORMA LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-577-7388"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.