NPIMap

Organization Active NPI

Silver Oak Adult Activity and Therapy Center

  • Clinic/Center
  • McRae, AR
National Provider Identifier
1578889382
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1395 Issued in AR
Legal business name
SILVER OAK ADULT ACTIVITY AND THERAPY CENTER
Practice address
5140 Hwy 367 S
McRae, AR 72102-9656
Phone
(501) 726-8080
Fax
(501) 726-8081
NPI assigned
Apr 19, 2010
Last updated
Apr 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Connie Rackley, PTNPI 1144534090
Title
Physical Therapist
Phone
(501) 281-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1395 AR Primary

Addresses

Primary practice location

5140 Hwy 367 S
McRae, AR 72102-9656

Mailing address

5140 Hwy 367S
McRae, AR 72102-9656
Phone (501) 281-2820

National Provider Directory

National Provider Directory
Tax ID family
Silver Oak Adult Activity and Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1578889382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 HWY 367S",
            "city": "MCRAE",
            "state": "AR",
            "postal_code": "721029656",
            "telephone_number": "501-281-2820",
            "fax_number": "501-726-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 HWY 367 S",
            "city": "MCRAE",
            "state": "AR",
            "postal_code": "721029656",
            "telephone_number": "501-726-8080",
            "fax_number": "501-726-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER OAK ADULT ACTIVITY AND THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "RACKLEY",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "501-281-2820",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McRae, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.