Melissa Yvonne Booth, PT, DPT, PCS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

705 Issued in AR

Practice address

3920 Woodland Heights Rd
Little Rock, AR 72212-2495

Phone

(501) 227-3600

Fax

(501) 227-4021

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1558614446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DONAGHEY AVE",
            "address_2": "PT CENTER SUITE 308",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720355003",
            "telephone_number": "501-450-5543",
            "fax_number": "501-450-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 WOODLAND HEIGHTS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122495",
            "telephone_number": "501-227-3600",
            "fax_number": "501-227-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "MELISSA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "705",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint Boone, PHARM.D.
• Matthew S Boone
• Bradley Scott Boop, M.D.
• Judith Ann Booth
• Ladrill Booth, QBHP
• Heather Borchert, D.O.
• Apolinar B Bordador III, MD
• Brandii Borders
• Sarah Yurt Borders, DPT, PT
• Elisabeth Borecky, MSN, RN

• Pediatric Physical Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.