NPIMap

Organization Active NPI

Harris & Renshaw Rehab Center, Inc.

  • Physical Therapy Clinic/Center
  • North Little Rock, AR
National Provider Identifier
1336478031
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HARRIS & RENSHAW REHAB CENTER, INC.
Practice address
4801 Fairway Ave
North Little Rock, AR 72116-8009
Phone
(501) 758-1300
NPI assigned
Dec 9, 2009
Last updated
Nov 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Pam Howard
Title
Office Manager
Phone
(501) 758-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

4801 Fairway Ave
North Little Rock, AR 72116-8009

Mailing address

4801 Fairway Ave
North Little Rock, AR 72116-8009
Phone (501) 758-1300

Other identifiers 1

IdentifierTypeStateIssuer
180920742MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000097 AR Part B Supplier - Clinic/Group Practice 1557496205 Receives reassigned benefits from 24 practitioners
Practice locations: Hot Springs Village, AR; Jacksonville, AR; North Little Rock, AR; Sherwood, AR

National Provider Directory

National Provider Directory

Locations

519 Marshall Rd
Jacksonville, AR 72076
Phone (501) 982-9511

4801 Fairway Ave
North Little Rock, AR 72116
Phone (501) 687-0328

13133 Highway 107
Sherwood, AR 72120
Phone (501) 392-6590

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1336478031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168009",
            "telephone_number": "501-758-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168009",
            "telephone_number": "501-758-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS & RENSHAW REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-758-1300"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180920742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.