NPIMap

Organization Active NPI

Bentonville Physical Therapy Specialists

Doing business as That's The Knot

  • Orthopedic Physical Therapist
  • Bentonville, AR
National Provider Identifier
1437696440
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT 4240 Issued in AR
Legal business name
BENTONVILLE PHYSICAL THERAPY SPECIALISTS
Doing business as
That's The Knot
Practice address
907 SE Village Loop Ste 5
Bentonville, AR 72712-2229
Phone
(479) 268-6040
Fax
(479) 431-5098
NPI assigned
Jan 27, 2017
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Christian Charles Robertozzi, PT, DPTNPI 1093153173
Title
Clinic Director
Phone
(479) 268-6040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT 4240 AR Primary

Addresses

Primary practice location

907 SE Village Loop Ste 5
Bentonville, AR 72712-2229

Mailing address

907 SE Village Loop Ste 5
Bentonville, AR 72712-2229
Phone (479) 268-6040

Other names 1

  • That's The Knot Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170901000692 AR Part B Supplier - Clinic/Group Practice 7911270582 Receives reassigned benefits from 2 practitioners
Practice locations: Bentonville, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1437696440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SE VILLAGE LOOP STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727122229",
            "telephone_number": "479-268-6040",
            "fax_number": "479-431-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SE VILLAGE LOOP STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727122229",
            "telephone_number": "479-268-6040",
            "fax_number": "479-431-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTONVILLE PHYSICAL THERAPY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTOZZI",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "479-268-6040",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT 4240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "That's The Knot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.