Organization Active NPI

Arkansas Orthopedic and Spine Care LLC

  • Physical Therapist
  • Harrison, AR
National Provider Identifier
1386958429
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ARKANSAS ORTHOPEDIC AND SPINE CARE LLC
Practice address
823 N Main St
Suite 3
Harrison, AR 72601-2914
Phone
(870) 704-9677
Fax
(479) 770-5656
NPI assigned
Jul 30, 2010
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Angelilah Bejerano
Title
President
Phone
(870) 704-9677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

823 N Main St
Suite 3
Harrison, AR 72601-2914

Mailing address

PO Box 861
Harrison, AR 72602-0861
Phone (479) 770-5656

National Provider Directory

National Provider Directory

Locations

823 N Main St
Ste 3
Harrison, AR 72601
Phone (870) 704-9677

NPI Registry JSON

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1386958429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 861",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726020861",
            "telephone_number": "479-770-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012914",
            "telephone_number": "870-704-9677",
            "fax_number": "479-770-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ORTHOPEDIC AND SPINE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "BEJERANO",
        "authorized_official_first_name": "ANGELILAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-704-9677"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.