NPIMap

Organization Active NPI

Arkansas Specialty Therapy and Diagnostic Centers LLC

Doing business as Arkansas Specialty Physical Therapy Center

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1366538134
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
MC1964 Issued in AR
Legal business name
ARKANSAS SPECIALTY THERAPY AND DIAGNOSTIC CENTERS LLC
Doing business as
Arkansas Specialty Physical Therapy Center
Practice address
600 S McKinley St
Suite 300
Little Rock, AR 72205
Phone
(501) 663-3647
Fax
(501) 663-1706
NPI assigned
Oct 5, 2006
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Susan E Hibbs
Title
Director of Operations
Phone
(501) 978-2613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MC1964 AR Primary

Addresses

Primary practice location

600 S McKinley St
Suite 300
Little Rock, AR 72205

Mailing address

600 S McKinley St
Suite 300
Little Rock, AR 72205-5202
Phone (501) 663-3647

Other identifiers 1

IdentifierTypeStateIssuer
5C153OtherARABCBS

Other names 1

  • Arkansas Specialty Physical Therapy Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1366538134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055202",
            "telephone_number": "501-663-3647",
            "fax_number": "501-663-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MCKINLEY ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-663-3647",
            "fax_number": "501-663-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS SPECIALTY THERAPY AND DIAGNOSTIC CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "HIBBS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "501-978-2613"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "MC1964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS",
            "identifier": "5C153",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Specialty Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Specialty Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.