Industrial and Sports Rehab LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INDUSTRIAL AND SPORTS REHAB LLC

Practice address

212 S Lincoln St
Ste D
Lowell, AR 72745-9782

Phone

(870) 704-9800

NPI assigned

Jan 19, 2011

Last updated

Jan 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelila Bejerano

Title

Administrative Officer

Phone

(870) 704-9800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1356646632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726020861",
            "telephone_number": "870-704-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S LINCOLN ST",
            "address_2": "STE D",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459782",
            "telephone_number": "870-704-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "BEJERANO",
        "authorized_official_first_name": "ANGELILA",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "870-704-9800"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadeta Holder
• Stacy Howard, MS, CCC-SLP
• Sarah Michelle Hudson, LCSW
• Allison Hughes
• Sharon Hunter
• Innerzension Therapy LLC (InnerZension)
• Julie A Ironside
• Kristin N Ivey
• Ivx Health of Arkansas, Inc. (IVX Health)
• Kyle E. Johnson, M.D.

• Physical Medicine & Rehabilitation Physician in Lowell, AR
• Providers in Lowell, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.