Andrew M Hefner, PT, DPT
Individual provider Active NPI Physical Therapist · Little Rock Afb, AR
NPI 1538837232 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1538837232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5029 (AR)
- Practice address
- 1090 Arnold Dr
Little Rock Afb, AR 72099-7479 - Phone
- (501) 987-3080
- NPI assigned
- Aug 30, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211011001203 | AR | Practitioner - Physical Therapist in Private Practice | 7113325895 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5029 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Rehabilitation Centers LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2039 W Main St
Ste B
Cabot, AR 72023
Phone (501) 605-8888
13100 Chenal Pkwy
Little Rock, AR 72211
Phone (501) 975-1915
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5029 | AR | Yes |
Addresses
Primary practice location
1090 Arnold Dr
Little Rock Afb, AR 72099-7479
Mailing address
1090 Arnold Dr
Little Rock Afb, AR 72099-7479
Phone (501) 987-3080
Other providers in Little Rock Afb, AR
- Megan Hager
- John Hammill
- Brady Hansen
- Marilyn Jeanne Hardy
- Susanne Havel
- Keisha Denythia Henry
- Freddie Hicks
- Emily M Holmes
- Patricia Ellen Hoogeveen
- Catrina Yvette Horn
All providers in Little Rock Afb, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.