Active NPI
Regional Therapy, LLC
- Physical Therapy Clinic/Center
- Bentonville, AR
National Provider Identifier
1417198482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- REGIONAL THERAPY, LLC
- Practice address
- 3101 SE 14TH St
Bentonville, AR 72712-4900 - Phone
- (479) 986-6084
- Fax
- (479) 986-6107
- NPI assigned
- Mar 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jerry Alexander
- Title
- Vice President of Operations
- Phone
- (479) 246-8281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
3101 SE 14TH St
Bentonville, AR 72712-4900
Mailing address
5302 Village Pkwy
Suite 1
Rogers, AR 72758-8102
Phone (479) 464-0200
National Provider Directory
National Provider DirectoryLocations
5302 W Village Pkwy
Ste 1
Rogers, AR 72758
Phone (479) 268-6090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237507200000",
"number": "1417198482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5302 VILLAGE PKWY",
"address_2": "SUITE 1",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588102",
"telephone_number": "479-464-0200",
"fax_number": "479-464-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SE 14TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124900",
"telephone_number": "479-986-6084",
"fax_number": "479-986-6107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-20",
"last_updated": "2009-03-20",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
"authorized_official_telephone_number": "479-246-8281",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.