Active NPI
Kasey Geheb, PTA
- Physical Therapy Assistant
- Van Buren, AR
National Provider Identifier
1447547252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2530
- Practice address
- 1202 Main St Ste B
Van Buren, AR 72956-4560 - Phone
- (479) 474-6444
- Fax
- (479) 474-6446
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2530 | AR | Primary |
Addresses
Primary practice location
1202 Main St Ste B
Van Buren, AR 72956-4560
Mailing address
PO Box 338
Lavaca, AR 72941-0338
Phone (479) 926-3993
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2530 | AR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1447547252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 338",
"city": "LAVACA",
"state": "AR",
"postal_code": "729410338",
"telephone_number": "479-926-3993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MAIN ST STE B",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729564560",
"telephone_number": "479-474-6444",
"fax_number": "479-474-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEHEB",
"first_name": "KASEY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "2530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.