Richard Louis Gardner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 3581 Issued in AR

Practice address

5001 W Pauline Whitaker Pkwy Ste 120
Rogers, AR 72758-7341

Phone

(479) 202-0337

Fax

(479) 202-0338

NPI assigned

Jun 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Specialized Physical Therapy of Nwa LLCGroup PAC ID 1850727298, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Specialized Physical Therapy of Nwa LLC

  • Physical Therapist
  • Rogers, AR
  • NPI 1225670250
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1447690201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W PAULINE WHITAKER PKWY",
            "address_2": "STE 120",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587341",
            "telephone_number": "479-202-0337",
            "fax_number": "479-202-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W PAULINE WHITAKER PKWY STE 120",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587341",
            "telephone_number": "479-202-0337",
            "fax_number": "479-202-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "RICHARD",
        "middle_name": "LOUIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AR",
            "license": "PT3581",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3581",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AR",
            "license": "PT3581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Ganous
• Heather Garcia
• Jose Alfredo Garcia, LPC
• Timothy Garcia
• Michelle E Gardner, APRN
• Russell W Gardner, DDS
• Sarah Maria Gardner, DDS
• Michael Alan Garone Jr., D.O.
• Cassandra Jo Garoutte, MASSAGE THERAPIST
• David C. Garrett III, MD

• Physical Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.