Beebe Physical Therapy PLLC
Organization Active NPI Physical Therapist · Beebe, AR
NPI 1437413622 · NPPES record last updated Jul 2, 2012
Key facts
- NPI
- 1437413622
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2923 (AR)
- Legal business name
- BEEBE PHYSICAL THERAPY PLLC
- Practice address
- 710 W Dewitt Henry Dr Ste D
Beebe, AR 72012-2102 - Phone
- (501) 882-2260
- NPI assigned
- Jul 2, 2012
- Organization subpart
- No
Authorized official
- Name
- Jacob A Landrum, DPT
- Title
- PT/Owner
- Phone
- (501) 882-2260
Practitioners 5
-
Jacob A Landrum, P.T.
-
Emily Naramore, PT, DPT
-
Melanie Kay Sisson, DPT
-
Jessica B Garrison, DPT
-
Steffany Landrum, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120904000231 | AR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6002063633 |
Receives reassigned benefits from 5 practitioners Practice locations: Beebe, AR |
National Provider Directory
Locations
710 W Dewitt Henry Dr
Ste D
Beebe, AR 72012
Phone (501) 882-2260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 2923 | AR | Yes |
Addresses
Primary practice location
710 W Dewitt Henry Dr Ste D
Beebe, AR 72012-2102
Mailing address
PO Box 297
Beebe, AR 72012-0297
Phone (501) 882-2260
Other providers in Beebe, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.