Whitley Herrin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA4941 Issued in AR

Practice address

711 N Main St
Cave City, AR 72521-9103

Phone

(870) 283-5391

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cave City School

  • Local Education Agency (LEA)
  • Cave City, AR
  • NPI 1457490658
  NPD (past)

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1457198681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 JAMESTOWN RD",
            "city": "DESHA",
            "state": "AR",
            "postal_code": "725279001",
            "telephone_number": "870-834-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 N MAIN ST",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219103",
            "telephone_number": "870-283-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRIN",
        "first_name": "WHITLEY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fore Family Practice LLC
• Kari Fowler
• From the Beginning CHMS Clinic
• Susan Gardner, MS, CCC-SLP
• Happy Day Therapy, LLC
• Kendra Hoggard
• Brandi Howard
• Jeremy Johnson, PTA
• Melissa Johnson
• Myra E Kendall, APN

• Physical Therapy Assistant in Cave City, AR
• Providers in Cave City, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.