Individual provider Active NPI

Lora A Mize, DPT

  • Physical Therapist
  • Conway, AR
National Provider Identifier
1356332415
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2770 Issued in AR
Practice address
701 Reedy Rd
Conway, AR 72034-9383
Phone
(870) 612-4412
NPI assigned
Oct 28, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2770 AR Primary

Addresses

Primary practice location

701 Reedy Rd
Conway, AR 72034-9383

Mailing address

3300 Rivermont Ave
Outpatient Therapy Administration
Lynchburg, VA 24503
Phone (434) 200-5032

Other identifiers 1

IdentifierTypeStateIssuer
154741721MedicaidAR

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

LicenseStateTypeSpecialty
2770ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Batesville Therapy Clinic, Inc Physical Therapist PastSince Jan 17, 2002 Accepting new patients
Maumelle Physical Therapy, Inc. Physical Therapist PastSince Sep 21, 2009 Accepting new patients
Dr David Health, PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356332415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RIVERMONT AVE",
            "address_2": "OUTPATIENT THERAPY ADMINISTRATION",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24503",
            "telephone_number": "434-200-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 REEDY RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349383",
            "telephone_number": "870-612-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "LORA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154741721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.