Raquel C Tejada, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3518 Issued in AR

Practice address

1200 Old Warren Rd
Monticello, AR 71655-9723

Phone

(870) 367-1548

NPI assigned

Aug 30, 2012

Sex

Female

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Rose Physical Therapy LLCGroup PAC ID 1759779119, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Rose Physical Therapy LLC

  dba Blue Rose Physical Therapy

  • Physical Therapy Clinic/Center
  • North Little Rock, AR
  • NPI 1902475684

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Blue Rose Physical Therapy - West Little Rock LLC

  dba Blue Rose Physical Therapy - West Little Rock

  • Physical Therapy Clinic/Center
  • Little Rock, AR
  • NPI 1003636630

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1588913040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD WARREN RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559723",
            "telephone_number": "870-367-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD WARREN RD",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559723",
            "telephone_number": "870-367-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "RAQUEL",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laci Tabor, PT
• Maite Talavera
• Kiarra Tate, QBHP
• Dawn Taylor
• Martha Taylor
• The Woods Healthcare LLC
• The Woods of Monticello Health and Rehabilitation, LLC
• Therex, Inc.
• Szarria Thomas, PHARMD
• Cassie Nicole Thompson, OTR/L

• Physical Therapist in Monticello, AR
• Providers in Monticello, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.