NPIMap

Organization Active NPI

Progressive Pediatrics - Beebe, Inc

  • Physical Therapist
  • Beebe, AR
National Provider Identifier
1376771295
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROGRESSIVE PEDIATRICS - BEEBE, INC
Practice address
27 Hwy 64 W
Suite 3
Beebe, AR 72012-2094
Phone
(501) 882-6660
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Steffany LandrumNPI 1427184985
Title
Owner
Phone
(501) 258-7944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

27 Hwy 64 W
Suite 3
Beebe, AR 72012-2094

Mailing address

807 Kamak Dr
Beebe, AR 72012-2087
Phone (501) 258-7944

National Provider Directory

National Provider Directory

Locations

27 Highway 64 W
Ste 3
Beebe, AR 72012
Phone (501) 882-6660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1376771295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 KAMAK DR",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720122087",
            "telephone_number": "501-258-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HWY 64 W",
            "address_2": "SUITE 3",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720122094",
            "telephone_number": "501-882-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PEDIATRICS - BEEBE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "STEFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-258-7944"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beebe, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.