Individual provider Active NPI

Angie Cadenbach, PT, DPT

  • Physical Therapist
  • Salem, AR
National Provider Identifier
1427196971
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2003027444 Issued in MO
Practice address
679 N Main St
Salem, AR 72576
Phone
(870) 895-6006
Fax
(870) 895-2626
NPI assigned
Feb 4, 2007
Last updated
May 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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 2003027444 MO Primary

Addresses

Primary practice location

679 N Main St
Salem, AR 72576

Mailing address

PO Box 41
Elizabeth, AR 72531-0041
Phone (870) 371-1254

Other identifiers 1

IdentifierTypeStateIssuer
489235606MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717000323 AR Practitioner - Physical Therapist in Private Practice 3779830161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

9818 Hwy 62 W
Viola, AR 72583-7009
Phone (870) 405-9584

Merit-based Incentive Payment System (MIPS)

Final score
18.74 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2003027444MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

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

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

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

347 Highway 62 E
Mountain Home, AR 72653
Phone (870) 232-5999

9818 Highway 62 W
Viola, AR 72583
Phone (870) 321-4457

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, 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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1427196971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "ELIZABETH",
            "state": "AR",
            "postal_code": "725310041",
            "telephone_number": "870-371-1254",
            "fax_number": "870-895-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "679 N MAIN ST",
            "city": "SALEM",
            "state": "AR",
            "postal_code": "72576",
            "telephone_number": "870-895-6006",
            "fax_number": "870-895-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADENBACH",
        "first_name": "ANGIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-04",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2003027444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "489235606",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.