NPIMap

Organization Active NPI

Arkansas Pelvic Health PLLC

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1346877214
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ARKANSAS PELVIC HEALTH PLLC
Practice address
10825 Kanis Rd Ste 300
Little Rock, AR 72211-3872
Phone
(501) 420-3884
NPI assigned
Mar 23, 2020
Last updated
Sep 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Dr. Beth Anne Travis, PT, DPT
Title
Co-Owner
Phone
(615) 955-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

10825 Kanis Rd Ste 300
Little Rock, AR 72211-3872

Mailing address

10825 Kanis Rd Ste 300
Little Rock, AR 72211-3872
Phone (501) 420-3884

Other practice location 1

124 W Capitol Ave
Little Rock, AR 72201-3704
Phone (501) 420-3884

Other identifiers 1

IdentifierTypeStateIssuer
1710396403OtherARBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pteverywhere.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020000984 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002235421 Receives reassigned benefits from 17 practitioners
Practice locations: Benton, AR; Conway, AR; Little Rock, AR; Rogers, AR

National Provider Directory

National Provider Directory

Locations

1226 Ferguson Dr
Ste 1
Benton, AR 72015
Phone (501) 359-6655

124 W Capitol Ave
Little Rock, AR 72201
Phone (501) 420-3884

9500 Kanis Rd
Ste 200
Little Rock, AR 72205
Phone (501) 224-6699

5430 W Pinnacle Pointe Dr
Ste 203
Rogers, AR 72758

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1346877214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 KANIS RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113872",
            "telephone_number": "501-420-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 KANIS RD STE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113872",
            "telephone_number": "501-420-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 W Capitol Ave",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722013704",
            "country_code": "US",
            "telephone_number": "501-420-3884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARKANSAS PELVIC HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "BETH ANNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "615-955-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1710396403",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pteverywhere.com",
            "affiliation": "N",
            "endpointDescription": "documentation system",
            "address_1": "124 W Capitol Ave",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722013704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.