Active NPI
Lori Freeman
- Physical Therapy Assistant
- Van Buren, AR
National Provider Identifier
1386857142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2135
- Practice address
- 4733 Kibler Rd
Van Buren, AR 72956-8406 - Phone
- (479) 268-2949
- NPI assigned
- May 8, 2007
- 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 Therapy Assistant | 225200000X | 2135 | AR | Primary |
Addresses
Primary practice location
4733 Kibler Rd
Van Buren, AR 72956-8406
Mailing address
4733 Kibler Rd
Van Buren, AR 72956-8406
Phone (479) 268-2949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161700721 | Medicaid | AR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2135 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Pediatric Therapy | Past | Accepting new patients | |
| Adair Ya, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Van Buren, AR
- NPI 1962885590
-
- Clinic/Center
- Van Buren, AR
- NPI 1922134972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1386857142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 KIBLER RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568406",
"telephone_number": "479-268-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 KIBLER RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568406",
"telephone_number": "479-268-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "2135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161700721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.