Active NPI
Shandy Toland, PT
- Pediatric Rehabilitation Medicine Physician
- Russellville, AR
National Provider Identifier
1487695839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- PT2344
- Practice address
- 2703 W Main St
Russellville, AR 72801-2456 - Phone
- (479) 890-5494
- Fax
- (479) 968-0069
- NPI assigned
- Jun 9, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | PT2344 | AR | Primary |
Addresses
Primary practice location
2703 W Main St
Russellville, AR 72801-2456
Mailing address
PO Box 9178
Russellville, AR 72811-9178
Phone (479) 968-4273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3127 W 2ND CT
Suite a
Russellville, AR 72801-4566
Phone (479) 567-5362
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2344 | AR | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Pediatric Therapy | Current | Accepting new patients | |
| River Valley Pediatric Therapy | Pediatric Rehabilitation Medicine | Past | Accepting new patients |
Locations
3127 W 2nd Ct
Ste A
Russellville, AR 72801
Phone (479) 498-6360
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Russellville, AR
- NPI 1659026839
-
- Pediatric Rehabilitation Medicine Physician
- Russellville, AR
- NPI 1982644753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487695839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9178",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728119178",
"telephone_number": "479-968-4273",
"fax_number": "479-968-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 W MAIN ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012456",
"telephone_number": "479-890-5494",
"fax_number": "479-968-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLAND",
"first_name": "SHANDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "AR",
"license": "PT2344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.