Organization Active NPI

Feet Plus of Arkansas, Inc

  • Physical Medicine & Rehabilitation Physician
  • Springdale, AR
National Provider Identifier
1437459096
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
E6411 Issued in AR
Legal business name
FEET PLUS OF ARKANSAS, INC
Practice address
163 N Maestri Rd
Springdale, AR 72762-9818
Phone
(479) 361-8004
NPI assigned
Oct 29, 2010
Last updated
Oct 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Authorized official

Name
Kathy C Boss
Title
Director, Billing & Credentialing
Phone
(405) 747-6443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X E6411 AR Primary

Addresses

Primary practice location

163 N Maestri Rd
Springdale, AR 72762-9818

Mailing address

1113 N Little Ave
Cushing, OK 74023-2033
Phone (918) 225-1819

National Provider Directory

National Provider Directory
Tax ID family
Feet Plus of Arkansas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1437459096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 N LITTLE AVE",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232033",
            "telephone_number": "918-225-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 N MAESTRI RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727629818",
            "telephone_number": "479-361-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEET PLUS OF ARKANSAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "BOSS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR, BILLING & CREDENTIALING",
        "authorized_official_telephone_number": "405-747-6443"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; 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.