Active NPI
Libbey Memorial Physical Medicine Center, Inc.
- Physical Therapist
- Hot Springs, AR
National Provider Identifier
1356654362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 409
- Legal business name
- LIBBEY MEMORIAL PHYSICAL MEDICINE CENTER, INC.
- Practice address
- 389 Lake Hamilton Dr
A7
Hot Springs, AR 71913-6899 - Phone
- (501) 620-9812
- Fax
- (501) 545-4891
- NPI assigned
- Jul 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dewey W. Crow, PT
- Title
- Physical Therapist
- Phone
- (501) 620-9812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 409 | AR | Primary |
Addresses
Primary practice location
389 Lake Hamilton Dr
A7
Hot Springs, AR 71913-6899
Mailing address
389 Lake Hamilton Dr
A7
Hot Springs, AR 71913-6899
Phone (501) 620-9812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Hot Springs, AR
- NPI 1548281892
-
- Hematology & Oncology Physician
- Springfield, MA
- NPI 1376816736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389139200000",
"number": "1356654362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "389 LAKE HAMILTON DR",
"address_2": "A7",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136899",
"telephone_number": "501-620-9812",
"fax_number": "501-545-4891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "389 LAKE HAMILTON DR",
"address_2": "A7",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136899",
"telephone_number": "501-620-9812",
"fax_number": "501-545-4891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBBEY MEMORIAL PHYSICAL MEDICINE CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-19",
"last_updated": "2014-01-08",
"status": "A",
"authorized_official_last_name": "CROW",
"authorized_official_first_name": "DEWEY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "501-620-9812",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "AR",
"license": "409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.