Active NPI
Elizabeth Rose Hart, PT
- Physical Therapist
- Conway, AR
National Provider Identifier
1508024761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2030
- Practice address
- 1902 Hairston St
Conway, AR 72034-3227 - Phone
- (501) 450-6634
- NPI assigned
- May 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 2030 | AR | Primary |
Addresses
Primary practice location
1902 Hairston St
Conway, AR 72034-3227
Mailing address
1902 Hairston St
Conway, AR 72034-3227
Phone (501) 450-6634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139937721 | Medicaid | AR |
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 |
|---|---|---|---|
| 2030 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Public Schools #01 | 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.
-
- Speech-Language Pathologist
- Conway, AR
- NPI 1245392752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1508024761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 HAIRSTON ST",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343227",
"telephone_number": "501-450-6634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 HAIRSTON ST",
"city": "CONWAY",
"state": "AR",
"postal_code": "720343227",
"telephone_number": "501-450-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "ELIZABETH",
"middle_name": "ROSE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139937721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.