Individual provider Active NPI

Becky J Rush, PT

  • Physical Therapist
  • Newport, AR
National Provider Identifier
1366433427
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2027 Issued in AR
Practice address
801 Malcolm Avenue
Newport, AR 72112-7211
Phone
(870) 523-6500
Fax
(870) 523-6508
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2027 AR Primary

Addresses

Primary practice location

801 Malcolm Avenue
Newport, AR 72112-7211

Mailing address

801 Malcolm Avenue
Newport, AR 72112-7628
Phone (870) 523-6500

Other practice location 1

2105 Malcolm Ave
Ste 117
Newport, AR 72112-3631
Phone (870) 523-4700

Other identifiers 1

IdentifierTypeStateIssuer
133317721MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000449 AR Practitioner - Physical Therapist in Private Practice 2668413204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Advanced Physical Therapy, Inc.Group PAC ID 0941300073, 4 clinicians

Practice addresses (Care Compare)

801 Malcolm Ave
Newport, AR 72112-3409
Phone (870) 523-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2027ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Oct 7, 2019 Accepting new patients
Newport Advanced Physical Therapy, Inc. Physical Therapist CurrentSince May 1, 2007 Accepting new patients

Locations

801 Malcolm Ave
Newport, AR 72112
Phone (870) 523-6500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1366433427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MALCOLM AVENUE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721127628",
            "telephone_number": "870-523-6500",
            "fax_number": "870-523-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MALCOLM AVENUE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721127211",
            "telephone_number": "870-523-6500",
            "fax_number": "870-523-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Malcolm Ave",
            "address_2": "Ste 117",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "AR",
            "postal_code": "721123631",
            "country_code": "US",
            "telephone_number": "870-523-4700",
            "fax_number": "870-523-4703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "BECKY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133317721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.