Active NPI
Stephanie Haynie, PTA
- Physical Therapist
- Springdale, AR
National Provider Identifier
1467692004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTA 2211
- Practice address
- 1112 South 48TH Street
Suite B
Springdale, AR 72762-5886 - Phone
- (479) 751-3900
- Fax
- (479) 751-3011
- NPI assigned
- Feb 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTA 2211 | AR | Primary |
Addresses
Primary practice location
1112 South 48TH Street
Suite B
Springdale, AR 72762-5886
Mailing address
Post Office Box 871
Tontitown, AR 72770-0871
Phone (479) 751-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 2211 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Yumang Rehab Serivces, PA | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Springdale, AR
- NPI 1356435358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235347200000",
"number": "1467692004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "POST OFFICE BOX 871",
"city": "TONTITOWN",
"state": "AR",
"postal_code": "727700871",
"telephone_number": "479-751-3900",
"fax_number": "479-751-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 SOUTH 48TH STREET",
"address_2": "SUITE B",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727625886",
"telephone_number": "479-751-3900",
"fax_number": "479-751-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNIE",
"first_name": "STEPHANIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2009-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PTA 2211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.