Individual provider Active NPI

Johnita Elslander

  • Physical Therapy Assistant
  • Heber Springs, AR
National Provider Identifier
1447377072
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1376 Issued in AR
Practice address
2000 Highway 25B
Suite a-1
Heber Springs, AR 72543-6417
Phone
(501) 362-7195
Fax
(501) 362-7855
NPI assigned
Mar 26, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1376 AR Primary

Addresses

Primary practice location

2000 Highway 25B
Suite a-1
Heber Springs, AR 72543-6417

Mailing address

89 Crystal Court Cir
Heber Springs, AR 72543-7676
Phone (501) 362-8968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1376ARMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews Physical Therapy Inc Past Accepting new patients
Matthews Physical Therapy Past Accepting new patients

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447377072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CRYSTAL COURT CIR",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725437676",
            "telephone_number": "501-362-8968",
            "fax_number": "501-362-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HIGHWAY 25B",
            "address_2": "SUITE A-1",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725436417",
            "telephone_number": "501-362-7195",
            "fax_number": "501-362-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSLANDER",
        "first_name": "JOHNITA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.