Organization Active NPI

Physical Therapy Plus Inc

  • Physical Therapist
  • Pine Bluff, AR
National Provider Identifier
1467501452
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY PLUS INC
Practice address
2302 W 28TH Ave
Ste B
Pine Bluff, AR 71603-5050
Phone
(870) 534-4030
Fax
(870) 534-4645
NPI assigned
Jan 9, 2007
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
Misti N Rodriguez
Title
Manager
Phone
(870) 534-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2302 W 28TH Ave
Ste B
Pine Bluff, AR 71603-5050

Mailing address

2302 W 28TH Ave
Ste B
Pine Bluff, AR 71603-5050
Phone (870) 534-4030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051123000658 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739109448 Receives reassigned benefits from 2 practitioners
Practice locations: White Hall, AR

National Provider Directory

National Provider Directory

Locations

3120 S Hazel St
Ste A
Pine Bluff, AR 71603
Phone (870) 534-4030

7500 Dollarway Rd
Ste 107
White Hall, AR 71602
Phone (870) 247-9900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467501452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 W 28TH AVE",
            "address_2": "STE B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035050",
            "telephone_number": "870-534-4030",
            "fax_number": "870-534-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W 28TH AVE",
            "address_2": "STE B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035050",
            "telephone_number": "870-534-4030",
            "fax_number": "870-534-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PLUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MISTI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-534-4030"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.