Individual provider Active NPI

Matthew Bryan Tharp, DPT

  • Physical Therapist
  • Carlisle, AR
National Provider Identifier
1619309358
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3723 Issued in AR
Practice address
821 E Park St
Carlisle, AR 72024-9024
Phone
(870) 552-7110
NPI assigned
Aug 5, 2013
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3723 AR Primary

Addresses

Primary practice location

821 E Park St
Carlisle, AR 72024-9024

Mailing address

821 E Park St
Carlisle, AR 72024-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210001606 AR Practitioner - Physical Therapist in Private Practice 8022247287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Arkansas Rehabilitation IncGroup PAC ID 1052414968, 8 clinicians

Practice addresses (Care Compare)

1200 Old Warren Rd
Monticello, AR 71655-9723
Phone (870) 367-1548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3723ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Rehabilitation, Inc. Physical Therapist CurrentSince Jun 15, 2020 Accepting new patients
Fenter Physical Therapy Past Accepting new patients

Locations

1200 Old Warren Rd
Monticello, AR 71655
Phone (870) 367-1548

Organizations & group practices 2

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1619309358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E PARK ST",
            "city": "CARLISLE",
            "state": "AR",
            "postal_code": "720249024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E PARK ST",
            "city": "CARLISLE",
            "state": "AR",
            "postal_code": "720249024",
            "telephone_number": "870-552-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "MATTHEW",
        "middle_name": "BRYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.