Victoria Adams, DPT
Individual provider Active NPI Physical Therapist · Batesville, AR
NPI 1548045123 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1548045123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5355 (AR)
- Practice address
- 4323 Harrison St Apt 55
Batesville, AR 72501-8437 - Phone
- (870) 344-3062
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240319003958 | AZ | Practitioner - Physical Therapist in Private Practice | 0042657520 | Reassigns benefits to 1 organization |
| I20250128002384 | CA | Practitioner - Physical Therapist in Private Practice | 0042657520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5355 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| H.D.P.R.G., Inc | Physical Therapist | Current |
Accepting new patients |
| Foothills Sports Medicine & Rehabilitation, LLC | Current |
Accepting new patients |
Locations
6788 S Kings Ranch Rd
Ste 4
Gold Canyon, AZ 85118
Phone (480) 982-1909
15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822
8820 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 829-7741
3305 N Swan Rd
Ste 115
Tucson, AZ 85712
Phone (520) 321-0204
5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743
56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5355 | AR | Yes |
Addresses
Primary practice location
4323 Harrison St Apt 55
Batesville, AR 72501-8437
Mailing address
4323 Harrison St Apt 55
Batesville, AR 72501-8437
Other providers in Batesville, AR
- Summer Acre
- Jennifer Ann Adair
- Susan Adam
- Kristy Nicole Adams
- Rhonda J Adams
- Heather Ade
- Andrea E Agee
- Ragda Ahmed
- Joshua Aimonetti
- Connie Akins
All providers in Batesville, 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 Aug 30, 2023. 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.