Individual provider Active NPI

Steffen Lucas O'Brien, PT, DPT

  • Physical Therapist
  • North Little Rock, AR
National Provider Identifier
1407402969
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT302326 Issued in CA
Practice address
5532 JFK Blvd
North Little Rock, AR 72116-6708
Phone
(501) 588-3211
NPI assigned
Aug 12, 2019
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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 PT302326 CA Primary

Addresses

Primary practice location

5532 JFK Blvd
North Little Rock, AR 72116-6708

Mailing address

5532 JFK Blvd
North Little Rock, AR 72116-6708
Phone (501) 588-3211

Other practice location 1

350 Posada Ln Ste 103
Templeton, CA 93465-4061
Phone (805) 434-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220322001415 AK Practitioner - Physical Therapist in Private Practice 6103154224 Reassigns benefits to 1 organization
I20240430003125 AR Practitioner - Physical Therapist in Private Practice 6103154224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT302326CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Therapy and Consulting Services, PA CurrentSince Feb 10, 2024 Accepting new patients
Optimum Health and Wellness Physical Therapy, Inc. Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Beyond Boundaries, Inc Physical Therapist Past Accepting new patients
Arkansas Enterprises for the Developmentally Disabled, Inc. Past Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

4079 Tongass Ave
Ste 102
Ketchikan, AK 99901
Phone (907) 225-7808

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1407402969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Posada Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934654061",
            "country_code": "US",
            "telephone_number": "805-434-2050",
            "fax_number": "805-434-0665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "STEFFEN",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT302326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.