A. Yumang Rehab Serivces, PA
Organization Active NPI Physical Therapist · Springdale, AR
NPI 1356435358 · NPPES record last updated Sep 6, 2023
Key facts
- NPI
- 1356435358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- A. YUMANG REHAB SERIVCES, PA
- Practice address
- 1112 S 48TH St
Suite B
Springdale, AR 72762-5848 - Phone
- (479) 751-3900
- Fax
- (479) 751-3011
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Ray A Yumang, PT, LMT
- Title
- Owner, Physical Therapist
- Phone
- (479) 751-3900
Corporate family (same tax ID) 1
Practitioners 27
-
Ray A Yumang, PT
-
Brandon Anible, DPT
-
Bernadette Balance, PTA
-
Laurie Ann Blasingame, D.P.T
-
Sharon Davis, PT
-
Alison Dianna Duke, LMT
-
Todd Scott Dunn, PT
-
Jennifer Lynne Hall, PTA
-
Stephanie Haynie, PTA
-
Debera Chris Kirby, PTA
-
Diane Elizabeth Koch, PTA
-
Mark Andrew Leon, D.P.T.
-
Laura Fawn Purcell, MPT
-
Brandi Sue Rudder, PTA
-
Keely Routh Spicer, DPT
-
Leshea Ann Straub, LPTA
-
Kathryn Joan Venema, RPT,MS
-
Kyle J Wages, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031231000273 | AR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1052210887 |
Receives reassigned benefits from 4 practitioners Practice locations: Fayetteville, AR; Springdale, AR |
National Provider Directory
- Tax ID family
- A Yumang Rehab Serivces PA
Locations
3061 N Market Ave
Ste 4
Fayetteville, AR 72703
Phone (479) 444-6277
704 W Meadow Ave
Springdale, AR 72764
Phone (479) 751-0390
1112 S 48th St
Ste B
Springdale, AR 72762
Phone (479) 751-3900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
1112 S 48TH St
Suite B
Springdale, AR 72762-5848
Mailing address
PO Box 871
Tontitown, AR 72770-0871
Phone (479) 751-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228586001 | Other | AR | CIGNA |
| 5C504 | Other | AR | AR BLUE CROSS |
| 145353742 | Medicaid | AR |
Other providers in Springdale, AR
- 1232 Stultz Road Operations, LLC
- A.R.C. Chiropractic
- Aarchway Chiropractic K a Plummer DC PA
- Yumana Abdul-Hafiz Morales
- Joemur Abon
- Above and Beyond Autism LLC
All providers in Springdale, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.