Individual provider Active NPI

Payton Cole Parker

  • Physical Therapist
  • Hiawatha, KS
National Provider Identifier
1548043854
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5344 Issued in AR
Practice address
819 Oregon St
Hiawatha, KS 66434-2205
Phone
(785) 742-2201
NPI assigned
Aug 18, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5344 AR Primary

Addresses

Primary practice location

819 Oregon St
Hiawatha, KS 66434-2205

Mailing address

247 Town Park Dr
Mountain Home, AR 72653-6567
Phone (870) 405-8190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126002560 AR Practitioner - Physical Therapist in Private Practice 5496109597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Arkansas Speech Services LLCGroup PAC ID 9133545759, 7 clinicians

Practice addresses (Care Compare)

230 Hwy 5 N
Suite 10
Mountain Home, AR 72653-3013
Phone (870) 404-0270

75 Hwy 62 412
Suite J
Ash Flat, AR 72513-9629
Phone (870) 705-4021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5344ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialists of the Ozarks, LLC Physical Therapist CurrentSince May 21, 2024 Accepting new patients
Ozark Shoulder to Hand Center LLC Physical Therapist CurrentSince May 21, 2024 Accepting new patients
North Arkansas Speech Services, LLC Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients

Locations

75 Highway 62 412
Ste J
Ash Flat, AR 72513
Phone (870) 206-9430

230 Highway 5 N
Ste 10
Mountain Home, AR 72653
Phone (870) 232-0900

400 S College St
Ste 3
Mountain Home, AR 72653
Phone (870) 404-0270

804 Coley Dr
Mountain Home, AR 72653
Phone (870) 424-2224

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1548043854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 TOWN PARK DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536567",
            "telephone_number": "870-405-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 OREGON ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342205",
            "telephone_number": "785-742-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "PAYTON",
        "middle_name": "COLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.