Active NPI
Sti Work Care
- Other Technician
- Bentonville, AR
National Provider Identifier
1518403252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Legal business name
- STI WORK CARE
- Practice address
- 1504 SE 28TH St
Bentonville, AR 72712-3988 - Phone
- (479) 249-9944
- Fax
- (479) 249-9894
- NPI assigned
- Jan 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Slader Agee
- Title
- President & Ceo
- Phone
- (479) 249-9944
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | AR | ||
| Other Technician | 247200000X | AR | Primary |
Addresses
Primary practice location
1504 SE 28TH St
Bentonville, AR 72712-3988
Mailing address
3511 SE J St
Ste 9 PMB 239
Bentonville, AR 72712-3856
Phone (479) 249-9944
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484697600000",
"number": "1518403252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3511 SE J ST",
"address_2": "STE 9 PMB 239",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123856",
"telephone_number": "479-249-9944",
"fax_number": "479-249-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 SE 28TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123988",
"telephone_number": "479-249-9944",
"fax_number": "479-249-9894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STI WORK CARE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A",
"authorized_official_last_name": "AGEE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "SLADER",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "479-249-9944"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Other",
"state": "AR",
"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 Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.