Organization Active NPI

Spinal Trauma Recovery Inc

  • Chiropractor
  • Barling, AR
National Provider Identifier
1366421547
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1276 Issued in AR
Legal business name
SPINAL TRAUMA RECOVERY INC
Practice address
720A Strozier LN
Barling, AR 72923-1735
Phone
(479) 783-0369
Fax
(479) 783-0419
NPI assigned
Jan 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Stephen Mark Matthew, DCNPI 1508845785
Title
Clinic Director
Phone
(479) 783-0369

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 1276 AR Primary

Addresses

Primary practice location

720A Strozier LN
Barling, AR 72923-1735

Mailing address

PO Box 23601
Barling, AR 72923-0601
Phone (479) 783-0369

Other identifiers 1

IdentifierTypeStateIssuer
5C831OtherARPTAN

Other names 1

  • Matthew Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050131001016 AR Part B Supplier - Clinic/Group Practice 5890745434 Receives reassigned benefits from 1 practitioner
Practice locations: Barling, AR

National Provider Directory

National Provider Directory

Locations

720A Strozier Ln
Barling, AR 72923
Phone (479) 783-0369

2300 S 57th St
Ste 2
Fort Smith, AR 72903
Phone (479) 783-0369

3800 Rogers Ave
Ste 2
Fort Smith, AR 72903
Phone (479) 783-0369

4300 Rogers Ave
Ste 15
Fort Smith, AR 72903
Phone (479) 783-0369

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1366421547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23601",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729230601",
            "telephone_number": "479-783-0369",
            "fax_number": "479-783-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720A STROZIER LN",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729231735",
            "telephone_number": "479-783-0369",
            "fax_number": "479-783-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL TRAUMA RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-16",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "479-783-0369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5C831",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barling, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.

Verify at the official NPI Registry.