NPIMap

Organization Active NPI

Tri-Lakes Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
National Provider Identifier
1346336245
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 1481 Issued in AR
Legal business name
TRI-LAKES PHYSICAL THERAPY, INC.
Practice address
307 Carpenter Dam Road
BLDG. L
Hot Springs, AR 71901-8218
Phone
(501) 623-6353
Fax
(501) 321-4783
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Mr. Jon T Hardy, M.P.T.NPI 1174691877
Title
Owner / Physical Therapist
Phone
(501) 623-6353

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 PT 1481 AR Primary

Addresses

Primary practice location

307 Carpenter Dam Road
BLDG. L
Hot Springs, AR 71901-8218

Mailing address

307 Carpenter Dam Rd
BLDG. L
Hot Springs, AR 71901-8218
Phone (501) 623-6353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050216000856 AR Part B Supplier - Clinic/Group Practice 9537111695 Receives reassigned benefits from 3 practitioners
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

307 Carpenter Dam Rd
Ste L
Hot Springs National Park, AR 71901
Phone (501) 623-6353

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1346336245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM RD",
            "address_2": "BLDG. L",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018218",
            "telephone_number": "501-623-6353",
            "fax_number": "501-321-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CARPENTER DAM ROAD",
            "address_2": "BLDG. L",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018218",
            "telephone_number": "501-623-6353",
            "fax_number": "501-321-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LAKES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "501-623-6353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT 1481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.