Central Arkansas Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2221 Issued in AR

Legal business name

CENTRAL ARKANSAS SPORTS MEDICINE

Practice address

2400 Crestwood
Suite 107
North Little Rock, AR 72116-7665

Phone

(501) 758-1300

Fax

(501) 758-1316

NPI assigned

Jul 4, 2006

Last updated

Jun 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Renhsaw, MSPT, ATC

Title

Owner

Phone

(501) 758-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Bryan Ray Renshaw

  • Physical Therapist
  • North Little Rock, AR
  • NPI 1346216116
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1467482265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD",
            "address_2": "SUITE 107",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167665",
            "telephone_number": "501-758-1300",
            "fax_number": "501-758-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD",
            "address_2": "SUITE 107",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167665",
            "telephone_number": "501-758-1300",
            "fax_number": "501-758-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "RENHSAW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-758-1300",
        "authorized_official_credential": "MSPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "5C856",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Arkansas Area Agency on Aging, Inc (CareLink)
• Central Arkansas Cardiology
• Central Arkansas Chiropractic North Little Rock PLLC
• Central Arkansas Chiropractic North Little Rock,PLLC
• Central Arkansas Disability Services (Cads)
• Central Arkansas Vascular & Dialysis Access Center, LLC
• Central Arkansas Veterans Health Care System
• Central Arkansas Veterans Healthcare System
• Central Arkansas Veterans Healthcare System
• Chad Matone Dental Services,P.L.L.C. (North Hills Family Dental)

• Physical Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.