Organization Active NPI

McElroy Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Crossett, AR
National Provider Identifier
1407248172
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT2302 Issued in AR
Legal business name
MCELROY PHYSICAL THERAPY INC
Practice address
101 E 3Rd Ave
Crossett, AR 71635-2915
Phone
(870) 364-2990
Fax
(870) 364-3104
NPI assigned
Mar 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Authorized official

Name
Lesa D Streeter
Title
Office Manageer
Phone
(870) 364-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT2302 AR Primary

Addresses

Primary practice location

101 E 3Rd Ave
Crossett, AR 71635-2915

Mailing address

101 E 3Rd Ave
Crossett, AR 71635-2915
Phone (870) 364-2990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201019002416 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9133549827 Receives reassigned benefits from 1 practitioner
Practice locations: Crossett, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1407248172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 3RD AVE",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352915",
            "telephone_number": "870-364-2990",
            "fax_number": "870-364-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 3RD AVE",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352915",
            "telephone_number": "870-364-2990",
            "fax_number": "870-364-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCELROY PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "LESA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGEER",
        "authorized_official_telephone_number": "870-364-2990"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT2302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.