Active NPI
Bobby Rapert, PTA
- Physical Therapy Clinic/Center
- Cherokee Village, AR
National Provider Identifier
1558715243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PTA 4059
- Practice address
- 31 Choctaw Trce
Cherokee Village, AR 72529-2702 - Phone
- (870) 856-4325
- Fax
- (870) 856-4327
- NPI assigned
- Apr 19, 2016
- Last updated
- Apr 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PTA 4059 | AR | Primary |
Addresses
Primary practice location
31 Choctaw Trce
Cherokee Village, AR 72529-2702
Mailing address
105 Lenford Dr
Bono, AR 72416-8527
Phone (501) 454-4736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 4059 | AR | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Works, Inc. | Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1558715243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LENFORD DR",
"city": "BONO",
"state": "AR",
"postal_code": "724168527",
"telephone_number": "501-454-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 CHOCTAW TRCE",
"city": "CHEROKEE VILLAGE",
"state": "AR",
"postal_code": "725292702",
"telephone_number": "870-856-4325",
"fax_number": "870-856-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPERT",
"first_name": "BOBBY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-19",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AR",
"license": "PTA 4059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherokee Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.