Active NPI
Arkansas Physical Health & Rehab
- Chiropractor
- Fayetteville, AR
National Provider Identifier
1457423766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1108
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Blair B Masters, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5F643 | Other | AR | AR BLUE CROSS BUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Fayetteville, AR
- NPI 1114907854
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
- Arkansas Medical Imaging JV LLC
- Arkansas Mental Health Institute
- Arkansas MRI Services, LLC
- Arkansas Nutrition PLLC
- Arkansas Outpatient Eye Surgery LLC
- Arkansas Physical Therapy Services of Conway, LLC (Arkansas Physical Therapy Services of Conway)
- Arkansas Regenerative Medical Center, LTD.
- Arkansas Regional Therapy Services, LLC
- Larry Gene Armstrong, DO
- Lisa Michelle Armstrong, PHARMD
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.