Terry Len Dewitt, PHD, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT124 Issued in AR

Practice address

410 Ouachita St.
Jones Science Center, Room 426
Arkadelphia, AR 71998-3700

Phone

(870) 245-5264

Fax

(870) 245-5241

NPI assigned

Apr 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558324939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 OUACHITA ST.",
            "address_2": "JONES SCIENCE CENTER, ROOM 426",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719983700",
            "telephone_number": "870-245-5264",
            "fax_number": "870-245-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 OUACHITA ST.",
            "address_2": "JONES SCIENCE CENTER, ROOM 426",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719983700",
            "telephone_number": "870-245-5264",
            "fax_number": "870-245-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "TERRY",
        "middle_name": "LEN",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AR",
            "license": "AT124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DC Dental
• Nicole Delaney
• Ronnie Wayne Dennis, M.D.
• Haelyn Lerae Depriest, O.D.
• Dylan Dew
• Kelly Dickey
• Christine Marie Dickson, LPC
• Lori Dinger, MHPP
• Sarah Lee Dixon, PHARMD
• Yajahira Dominguez

• Athletic Trainer in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Athletic Trainer in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.