NPIMap

Organization Active NPI

Institute for Advanced Medicine, PA

  • Physical Therapy Clinic/Center
  • Bentonville, AR
National Provider Identifier
1477058121
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INSTITUTE FOR ADVANCED MEDICINE, PA
Practice address
907 SE Village Loop Ste 5
Bentonville, AR 72712-4320
Phone
(479) 268-6040
Fax
(479) 431-5098
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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

Authorized official

Name
Dr. Christian Robertozzi, PT, DPT, OCSNPI 1093153173
Title
Clinic Director
Phone
(479) 402-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

907 SE Village Loop Ste 5
Bentonville, AR 72712-4320

Mailing address

907 SE Village Loop Ste 5
Bentonville, AR 72712-4320
Phone (479) 268-6040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1477058121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SE VILLAGE LOOP STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124320",
            "telephone_number": "479-268-6040",
            "fax_number": "479-431-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 SE VILLAGE LOOP STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124320",
            "telephone_number": "479-268-6040",
            "fax_number": "479-431-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR ADVANCED MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTOZZI",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "479-402-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.