Active NPI
Erin Elaine McIlroy, PHD
- Pediatric Physical Therapist
- Bentonville, AR
National Provider Identifier
1609301811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 4269
- Practice address
- 201 SW 14TH St Ste 205
Bentonville, AR 72712-7771 - Phone
- (419) 204-2465
- Fax
- (479) 282-0412
- NPI assigned
- Apr 25, 2017
- Last updated
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4269 | AR | Primary |
Addresses
Primary practice location
201 SW 14TH St Ste 205
Bentonville, AR 72712-7771
Mailing address
506 Shady Acres LN
Prairie Grove, AR 72753-2507
Phone (419) 204-2465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165825742 | Medicaid | AR |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emc Therapy Services, LLC | Pediatrics | Current | Accepting new patients |
Locations
201 SW 14th St
Ste 205
Bentonville, AR 72712
Phone (419) 204-2465
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": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1609301811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 SHADY ACRES LN",
"city": "PRAIRIE GROVE",
"state": "AR",
"postal_code": "727532507",
"telephone_number": "419-204-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SW 14TH ST STE 205",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127771",
"telephone_number": "419-204-2465",
"fax_number": "479-282-0412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCILROY",
"first_name": "ERIN",
"middle_name": "ELAINE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-25",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "AR",
"license": "4269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165825742",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.