Individual provider Active NPI

Elysian Lauren Reeder, PT, DPT

  • Physical Therapist
  • Benton, AR
National Provider Identifier
1376429159
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5738 Issued in AR
Practice address
221 N East St
Benton, AR 72015-3867
Phone
(501) 301-4530
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 5738 AR Primary

Addresses

Primary practice location

221 N East St
Benton, AR 72015-3867

Mailing address

11420 Bass Pro Pkwy Ste 2316
Little Rock, AR 72210-3094
Phone (501) 520-1763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022001193 AR Practitioner - Physical Therapist in Private Practice 1759879760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy InstituteGroup PAC ID 7214117001, 31 clinicians

Practice addresses (Care Compare)

1909 Hinson Loop Rd
Suite 100
Little Rock, AR 72212-3903
Phone (501) 301-4530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5738ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Institute Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients

Locations

221 N East St
Benton, AR 72015
Phone (501) 301-4350

1 Chenal Heights Dr
Little Rock, AR 72223
Phone (201) 301-4530

1909 Hinson Loop Rd
Ste 100
Little Rock, AR 72212
Phone (501) 563-9412

223 Country Club Pkwy
Maumelle, AR 72113

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.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1376429159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 BASS PRO PKWY STE 2316",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722103094",
            "telephone_number": "501-520-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N EAST ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153867",
            "telephone_number": "501-301-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDER",
        "first_name": "ELYSIAN",
        "middle_name": "LAUREN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.