Active NPI
Cynthia A Gunselman, P.T.
- Physical Therapist
- Rogers, AR
National Provider Identifier
1346454436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 408
- Practice address
- 914 S 22ND St
Rogers, AR 72758-4914 - Phone
- (707) 152-9558
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 408 | AR | Primary |
Addresses
Primary practice location
914 S 22ND St
Rogers, AR 72758-4914
Mailing address
914 S 22ND St
Rogers, AR 72758-4914
Phone (707) 152-9558
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116059721 | Medicaid | AR | |
| 5R563 | Other | AR | AR BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1346454436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 S 22ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584914",
"telephone_number": "707-152-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 S 22ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584914",
"telephone_number": "707-152-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNSELMAN",
"first_name": "CYNTHIA",
"middle_name": "A",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116059721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "5R563",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}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 Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.