Active NPI
Wanda Bingham
- Physical Therapist
- Searcy, AR
National Provider Identifier
1366996571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013478
- Practice address
- 502 E Race Ave
Searcy, AR 72143 - Phone
- (501) 268-3400
- NPI assigned
- Aug 5, 2016
- Last updated
- Jul 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013478 | GA | Primary |
Addresses
Primary practice location
502 E Race Ave
Searcy, AR 72143
Mailing address
3355 McDaniel Rd
Duluth, GA 30096-8613
Phone (870) 222-7807
Other practice location 1
502 E Race Ave
Searcy, AR 72143-4417
Phone (501) 268-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013478 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1366996571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 MCDANIEL RD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300968613",
"telephone_number": "870-222-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 E RACE AVE",
"city": "SEARCY",
"state": "AR",
"postal_code": "72143",
"telephone_number": "501-268-3400"
}
],
"practiceLocations": [
{
"address_1": "502 E Race Ave",
"address_purpose": "LOCATION",
"city": "Searcy",
"state": "AR",
"postal_code": "721434417",
"country_code": "US",
"telephone_number": "501-268-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BINGHAM",
"first_name": "WANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Searcy, AR
- Jami Lee Bever, LCSW
- Panna Bhattacharyya, M.D.
- BHC Pinnacle Pointe Hospital, Inc. (The Pointe Outpatient Behavioral Health Services)
- Rayudu Bhogavalli, MD
- Jason Scott Biggers, MD
- Bird and Bear Medical, LLC (AdaptHealth)
- Makenzi Payton Black
- Sharon Beth Black, PT
- Makenzie Blaine
- Blair Psychological Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.