Ralph W Brown III, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4404 Issued in OK

Practice address

1 Concordia Dr
Bella Vista, AR 72715-8401

Phone

(479) 268-4713

Fax

(479) 802-0703

NPI assigned

Jan 31, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rivermark Physical Therapy, Inc

  • Physical Therapist
  • Poteau, OK
  • NPI 1215328752
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1538465182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 DURANT HILL RD",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749537315",
            "telephone_number": "918-413-3326",
            "fax_number": "918-649-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CONCORDIA DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158401",
            "telephone_number": "479-268-4713",
            "fax_number": "479-802-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RALPH",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2794",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Selck Book, M.D.
• Stephanie Jane Brackeen, LMT
• Katrina Elizabeth Bradley, PHARMD
• Leigh Ann Brasel, P.D.
• Alli Kristen Brooks, PA-C
• Burnett Transit Care LLC
• Gracie Anne Campbell, PT, DPT
• Rebekah Dawn Campos, DO
• Colton Alan Carmical, DDS
• Douglas A Carmical, D.D.S.

• Physical Therapist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.