Individual provider Active NPI

Heather Williams

  • Physical Therapy Clinic/Center
  • De Queen, AR
National Provider Identifier
1447614540
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT3941 Issued in AR
Practice address
791 Highway 24 E
De Queen, AR 71832-8425
Phone
(870) 784-2384
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT3941 AR Primary

Addresses

Primary practice location

791 Highway 24 E
De Queen, AR 71832-8425

Mailing address

791 Highway 24 E
De Queen, AR 71832-8425
Phone (870) 784-2384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160721002619 AR Practitioner - Physical Therapist in Private Practice 0446543813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Therapy Services, LLCGroup PAC ID 3274826649, 2 clinicians

Practice addresses (Care Compare)

300 W Collin Raye Dr
Space 105 106a
Dequeen, AR 71832-2007
Phone (870) 584-1085

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3941ARMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Therapy Services, LLC CurrentSince Aug 10, 2016 Accepting new patients

Locations

300 W Collin Raye Dr
Spc 105
De Queen, AR 71832
Phone (870) 200-3062

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1447614540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 HIGHWAY 24 E",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718328425",
            "telephone_number": "870-784-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 HIGHWAY 24 E",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718328425",
            "telephone_number": "870-784-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT3941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.