Organization Active NPI

Sti Work Care

  • Other Technician
  • Bentonville, AR
National Provider Identifier
1518403252
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
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

Updated by the provider on Jan 18, 2017

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)CodeLicenseStatePrimary
MechanotherapistGroup: 193200000X MULTI-SPECIALTY GROUP 172M00000X AR
Other TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.