Organization Active NPI

Arkansas Physical Health & Rehab

  • Chiropractor
  • Fayetteville, AR
National Provider Identifier
1457423766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1108 Issued in AR
Legal business name
ARKANSAS PHYSICAL HEALTH & REHAB
Practice address
1583 Main Dr
Fayetteville, AR 72704-5214
Phone
(479) 443-0800
Fax
(479) 443-5538
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Blair B Masters, DCNPI 1114907854
Title
Doctor
Phone
(479) 443-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1108 AR Primary

Addresses

Primary practice location

1583 Main Dr
Fayetteville, AR 72704-5214

Mailing address

1583 Main Dr
Fayetteville, AR 72704-5214
Phone (479) 443-0800

Other identifiers 1

IdentifierTypeStateIssuer
5F643OtherARAR BLUE CROSS BUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457423766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1583 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045214",
            "telephone_number": "479-443-0800",
            "fax_number": "479-443-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1583 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045214",
            "telephone_number": "479-443-0800",
            "fax_number": "479-443-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PHYSICAL HEALTH & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "479-443-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS BUE SHIELD",
            "identifier": "5F643",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.