Hambrick Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HAMBRICK PHYSICAL THERAPY LLC

Practice address

270 Southfork Rd
Batesville, AR 72501-7791

Phone

(870) 307-4226

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Lavena Ann Hambrick, PTA

Title

Owner

Phone

(870) 307-4226

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1447634001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SOUTHFORK RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017791",
            "telephone_number": "870-307-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SOUTHFORK RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017791",
            "telephone_number": "870-307-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBRICK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "HAMBRICK",
        "authorized_official_first_name": "LAVENA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-307-4226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861672586",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166282721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Hall, LPN
• James Christopher Hall, PHARM. D.
• Karen Hall
• Maxine Hall
• Russell Lance Hall, MS OTR/L
• Lavena Ann Hambrick, PTA
• Taryn Hames
• Mindy Hamilton
• Paul Wesley Hance, D.D.S.
• Baylie Hancock

• Physical Therapy Clinic/Center in Batesville, AR
• Providers in Batesville, AR by specialty
• Physical Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.