Active NPI
Bios Performance Systems PLLC
- Occupational Therapist
- Russellville, AR
National Provider Identifier
1356971642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- BIOS PERFORMANCE SYSTEMS PLLC
- Practice address
- 95 Walthall Rd
Russellville, AR 72802-8707 - Phone
- (501) 837-6772
- NPI assigned
- Jan 25, 2020
- Last updated
- Feb 26, 2020
- 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
- Jeremy Nordman, OTR/L
- Title
- Owner
- Phone
- (501) 837-6772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary | ||
| Neurorehabilitation Occupational Therapist | 225XN1300X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X |
Addresses
Primary practice location
95 Walthall Rd
Russellville, AR 72802-8707
Mailing address
95 Walthall Rd
Russellville, AR 72802-8707
Phone (501) 837-6772
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Occupational Therapist
- Russellville, AR
- NPI 1477015162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582675200000",
"number": "1356971642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WALTHALL RD",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728028707",
"telephone_number": "501-837-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 WALTHALL RD",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728028707",
"telephone_number": "501-837-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOS PERFORMANCE SYSTEMS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-25",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A",
"authorized_official_last_name": "NORDMAN",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-837-6772",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.