Individual provider Active NPI

Dorothy Kathleen Ray, DPT

  • Physical Therapist
  • Fort Defiance, AZ
National Provider Identifier
1548893308
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4551 Issued in AR
Practice address
Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649
Phone
(928) 729-8000
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapist 225100000X PT4551 AR Primary

Addresses

Primary practice location

Corner of Route N12 and N7
Fort Defiance, AZ 86504-0649

Mailing address

PO Box 196
Kirby, AR 71950-0196
Phone (870) 816-5690

Other practice location 1

1635 Higdon Ferry Rd
Hot Springs National Park, AR 71913-6913
Phone (870) 816-5690

Other names 1

  • Dorothy Kathlen Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200317000697 AR Practitioner - Physical Therapist in Private Practice 5193153617 Reassigns benefits to 3 organizations
I20250107001827 TX Practitioner - Physical Therapist in Private Practice 5193153617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spa City Therapy IncGroup PAC ID 8022144625, 11 clinicians

Practice addresses (Care Compare)

100 Calella Rd
A
Hot Springs Village, AR 71909-3174
Phone (501) 984-2453

1635 Higdon Ferry Rd
Suite G
Hot Springs, AR 71913-6904
Phone (501) 525-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians of Hot Springs, PLLC Single Specialty Current Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation Single Specialty CurrentSince Jan 6, 2025 Accepting new patients
Spa City Therapy, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Spa City Therapy Inc Single Specialty CurrentSince Sep 7, 2021 Accepting new patients
Rehab Specialists, Inc. Single Specialty CurrentSince Nov 16, 2020 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Single Specialty Past Accepting new patients

Locations

4517 Park Ave
Hot Springs National Park, AR 71901
Phone (501) 623-7900

1635 Higdon Ferry Rd
Ste G
Hot Springs National Park, AR 71913
Phone (501) 525-2273

1661 Airport Rd
Ste A
Hot Springs National Park, AR 71913
Phone (501) 767-2710

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

500 Musgrave
Nashville, AR 71852
Phone (870) 845-5600

22 Southpark Shopping Ctr
Nashville, AR 71852
Phone (870) 845-5600

Organizations & group practices 9

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1548893308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 196",
            "city": "KIRBY",
            "state": "AR",
            "postal_code": "719500196",
            "telephone_number": "870-816-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF ROUTE N12 AND N7",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "865040649",
            "telephone_number": "928-729-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Higdon Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Hot Springs National Park",
            "state": "AR",
            "postal_code": "719136913",
            "country_code": "US",
            "telephone_number": "870-816-5690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "DOROTHY",
        "middle_name": "KATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHY",
            "last_name": "CLARK",
            "middle_name": "KATHLEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Defiance, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.