Robin Creeden

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2155 Issued in AR

Practice address

1220 Torbay Trce
Centerton, AR 72719-9501

Phone

(580) 504-2119

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Jan 13, 2012.

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1609147297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 TORBAY TRACE",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "72719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 TORBAY TRCE",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727199501",
            "telephone_number": "580-504-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEDEN",
        "first_name": "ROBIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachael Coover, MS, LAT, ATC
• Angela Rae Cox, LCSW
• Nathaniel Lee Crider, B.A.
• Cassie K Crossno
• Mary Michael Daniel, APN
• Tanna Davis
• Kristin M Demott, OT

• All providers in Centerton, AR
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.