Active NPI
Greta Lynn Schoneman, PTA
- Physical Therapy Assistant
- North Little Rock, AR
National Provider Identifier
1407910862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 1856
- Practice address
- 119 W H Ave
North Little Rock, AR 72116-8733 - Phone
- (501) 772-3224
- Fax
- (501) 771-7648
- NPI assigned
- Dec 20, 2006
- 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 | PTA 1856 | AR | Primary |
Addresses
Primary practice location
119 W H Ave
North Little Rock, AR 72116-8733
Mailing address
3514 Spring Valley CV
Jacksonville, AR 72076-3685
Phone (501) 307-5545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148718721 | 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 |
|---|---|---|---|
| PTA 1856 | AR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1407910862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3514 SPRING VALLEY CV",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720763685",
"telephone_number": "501-307-5545",
"fax_number": "501-771-7648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W H AVE",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721168733",
"telephone_number": "501-772-3224",
"fax_number": "501-771-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHONEMAN",
"first_name": "GRETA",
"middle_name": "LYNN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA 1856",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148718721",
"state": "AR"
}
],
"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 May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.