Katie Rebecca Hornbeak, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 2330 Issued in AR

Practice address

661 Highway 64B
Wynne, AR 72396-8506

Phone

(870) 238-7038

NPI assigned

Jun 23, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crowley's Ridge Therapies, Inc

  • Occupational Therapist
  • Wynne, AR
  • NPI 1992923429

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1437387909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MCCUTCHEN ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353435",
            "telephone_number": "870-261-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 HIGHWAY 64B",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723968506",
            "telephone_number": "870-238-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBEAK",
        "first_name": "KATIE",
        "middle_name": "REBECCA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 2330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Ivy Hicks
• Jaynee Claire Hill
• Katherine Hitchcock
• Kyle Hoffpauir, OTR
• Maryangelia Hoffpauir, OTR
• Cody Joe Horton, OTD
• Hughes Life Counseling, LLC
• Thomas Clayton Hughes, LPC
• Kimberly Dawn Hunt-Thornhill
• Elizabeth Hylle

• Physical Therapy Assistant in Wynne, AR
• Providers in Wynne, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.