Active NPI
Vida Physical Therapy PLLC
- Physical Therapist
- Conway, AR
National Provider Identifier
1538019351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- VIDA PHYSICAL THERAPY PLLC
- Practice address
- 1100 Bob Courtway Dr Ste 15
Conway, AR 72032-4767 - Phone
- (210) 835-7319
- NPI assigned
- Jan 31, 2026
- 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
- Mathew Lim, PT, DPT
- Title
- Physical Therapist/Owner
- Phone
- (210) 835-7319
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1100 Bob Courtway Dr Ste 15
Conway, AR 72032-4767
Mailing address
890 Heather Cir
Conway, AR 72034-9393
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Morrilton, AR
- NPI 1295402444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1538019351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 HEATHER CIR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720349393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 BOB COURTWAY DR STE 15",
"city": "CONWAY",
"state": "AR",
"postal_code": "720324767",
"telephone_number": "210-835-7319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDA PHYSICAL THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-31",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "MATHEW",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "210-835-7319",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.