Organization Active NPI

Esquared Therateam Co LLC

  • Clinic/Center
  • Bryant, AR
National Provider Identifier
1376046615
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ESQUARED THERATEAM CO LLC
Practice address
22461 I 30 Ste 301
Bryant, AR 72022-2382
Phone
(501) 627-8015
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Mrs. Tonashae Echols
Title
Director
Phone
(501) 847-2555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

22461 I 30 Ste 301
Bryant, AR 72022-2382

Mailing address

22461 I 30 Ste 301
Bryant, AR 72022-2382
Phone (501) 627-8015

Other names 1

  • TheraTeam Rehab Services 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": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1376046615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22461 I 30 STE 301",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222382",
            "telephone_number": "501-627-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22461 I 30 STE 301",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720222382",
            "telephone_number": "501-627-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESQUARED THERATEAM CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "TONASHAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-847-2555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraTeam Rehab Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.