Stinnett & Scarbrough P.a,

Organization Active NPI Physical Therapist · Siloam Springs, AR

NPI 1528016102 · NPPES record last updated Aug 29, 2024

Key facts

NPI
1528016102
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
Legal business name
STINNETT & SCARBROUGH P.A,
Practice address
1675 W. Jefferson
Suite a
Siloam Springs, AR 72761-1379
Phone
(479) 524-8028
Fax
(479) 524-6151
NPI assigned
May 5, 2006
Organization subpart
No

Authorized official

Name
Mrs. Donna M Woodard
Title
Office Manager
Phone
(479) 524-8028

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031125000914 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9638073125 Receives reassigned benefits from 5 practitioners
Practice locations: Siloam Springs, AR

National Provider Directory

Locations

1675 W Jefferson St
Ste A
Siloam Springs, AR 72761
Phone (479) 524-8028

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X Yes

Addresses

Primary practice location

1675 W. Jefferson
Suite a
Siloam Springs, AR 72761-1379

Mailing address

PO Box 1379
Siloam Springs, AR 72761-1379
Phone (479) 524-8028

Other identifiers

IdentifierTypeStateIssuer
128034742MedicaidAR

Other names

  • Holly Street Physical Therapy Doing business as

Other providers in Siloam Springs, AR

All providers in Siloam Springs, AR · Physical Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.