Gary Anzalone II, DPT

Individual provider Active NPI Physical Therapist · Searcy, AR

NPI 1366966293 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1366966293
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT4350 (AR)
Practice address
801 W Beebe Capps Expy
Searcy, AR 72143-6353
Phone
(501) 268-2513
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100 (individual)
Quality
83.97
Improvement activities
40
Cost
85.8

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170915001280 AR Practitioner - Physical Therapist in Private Practice 2769756667 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT4350ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Paul Abraham PT PA Physical Therapist Current
since Aug 1, 2017
Accepting new patients

Locations

1108 Highway 11 N
Ste B
Des Arc, AR 72040
Phone (870) 256-1555

3501 Carriage Hill Dr
#A
Paragould, AR 72450
Phone (870) 565-4770

801 W Beebe Capps Expy
#P
Searcy, AR 72143
Phone (501) 268-2513

801 W Beebe Capps Expy
Searcy, AR 72143
Phone (501) 268-2513

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4350 AR Yes

Addresses

Primary practice location

801 W Beebe Capps Expy
Searcy, AR 72143-6353

Mailing address

801 W Beebe Capps Expy
Searcy, AR 72143-6353
Phone (501) 268-2513

Other identifiers

IdentifierTypeStateIssuer
PT4350OtherARARKANSAS STATE BOARD OF PHYSICAL THERAPY

Other providers in Searcy, AR

All providers in Searcy, AR · Physical Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.