Individual provider Active NPI

Daniel B. Myers Jr., PHYSICAL THERAPIST

  • Physical Therapist
  • Benton, AR
National Provider Identifier
1477546562
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
842 Issued in AR
Practice address
1308 Military Rd
Benton, AR 72015-2911
Phone
(501) 776-1885
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro Active Rehab, Inc 15 clinicians

Practice addresses (Care Compare)

1308 Military Rd
Benton, AR 72015-2911
Phone (501) 776-1885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000776 AR Practitioner - Physical Therapist in Private Practice 3274556402 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
842ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Active Rehab, Inc Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Arkansas Spine & Sports Institiute Past Accepting new patients

Locations

1308 Military Rd
Benton, AR 72015
Phone (501) 776-1885

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 842 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1308 Military Rd
Benton, AR 72015-2911

Mailing address

PO Box 1890
Benton, AR 72018-1890
Phone (501) 776-1885

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2013.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1477546562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1890",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181890",
            "telephone_number": "501-776-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 MILITARY RD",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152911",
            "telephone_number": "501-776-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "DANIEL",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.