Individual provider Active NPI

Brandyn Harold Ray Batterton, DPT

  • Physical Therapist
  • Highland, AR
National Provider Identifier
1417569328
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4846 Issued in AR
Practice address
1441 Highway 62 412
Highland, AR 72542-9497
Phone
(870) 955-1020
Fax
(870) 277-0896
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services Inc 45 clinicians

Practice addresses (Care Compare)

1441 Hwy 62 412
Highland, AR 72542-9497
Phone (870) 955-1020

2500 Independence SQ
West Plains, MO 65775-4234
Phone (870) 701-5089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200910000011 AR Practitioner - Physical Therapist in Private Practice 7618395567 Reassigns benefits to 1 organization
I20250228001749 MO Practitioner - Physical Therapist in Private Practice 7618395567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4846ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Jan 24, 2022 Accepting new patients
Regional Orthopaedic Health Care CurrentSince Aug 24, 2020 Accepting new patients

Locations

4196 Highway 62 412
#B
Hardy, AR 72542
Phone (870) 860-2030

4196 Highway 62 412
Hardy, AR 72542

1441 Highway 62 412
Highland, AR 72542
Phone (870) 856-9675

803 Third St
Horseshoe Bend, AR 72512
Phone (870) 232-5555

201 N College St
Mountain Home, AR 72653
Phone (870) 232-5999

3 Medical Plz
Mountain Home, AR 72653
Phone (870) 424-3181

414 W Old Main St
Ste B
Yellville, AR 72687
Phone (870) 449-7456

2500 Independence Sq
West Plains, MO 65775
Phone (417) 255-9002

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4846 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1441 Highway 62 412
Highland, AR 72542-9497

Mailing address

1441 Highway 62 412
Highland, AR 72542-9497
Phone (870) 955-1020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2023.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1417569328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 HIGHWAY 62 412",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429497",
            "telephone_number": "870-955-1020",
            "fax_number": "870-277-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 HIGHWAY 62 412",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429497",
            "telephone_number": "870-955-1020",
            "fax_number": "870-277-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTERTON",
        "first_name": "BRANDYN",
        "middle_name": "HAROLD RAY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.