Individual provider Active NPI

Stephen Edward McDonald, P.T.

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1619902574
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1073 Issued in AR
Practice address
10014 N Rodney Parham Rd
Little Rock, AR 72227
Phone
(501) 224-5454
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 1073 AR Primary

Addresses

Primary practice location

10014 N Rodney Parham Rd
Little Rock, AR 72227

Mailing address

111 Margeaux Dr
Maumelle, AR 72113-7248
Phone (501) 920-0158

Other practice location 1

505 W Pershing Blvd
Suite D.
North Little Rock, AR 72114-2147
Phone (501) 753-5189

Other identifiers 1

IdentifierTypeStateIssuer
148049742MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000701 AR Practitioner - Physical Therapist in Private Practice 8022035849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aptc of Little Rock, Inc.Group PAC ID 2264519891, 14 clinicians
Aptc of North Little Rock, IncGroup PAC ID 1850298217, 11 clinicians

Practice addresses (Care Compare)

10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5587
Phone (501) 224-5454

2504 McCain Blvd
Suite 230
North Little Rock, AR 72116-7607
Phone (501) 758-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Zone Incorporated Physical Therapist CurrentSince Jul 8, 2019 Accepting new patients
Aptc of Little Rock, Inc. Physical Therapist CurrentSince Sep 28, 2019 Accepting new patients
Aptc of North Little Rock, Inc Physical Therapist CurrentSince May 1, 2021 Accepting new patients
Southeast Arkansas Physical Therapy, Inc. Physical Therapist PastSince Oct 7, 2002 Accepting new patients
Progressive Physical Therapy Physical Therapist PastSince Jan 1, 1990 Accepting new patients
Baptist Health Past Accepting new patients
Baptist Health Physical Therapist PastSince May 31, 2007 Accepting new patients

Locations

10014 N Rodney Parham Rd
Ste 103
Little Rock, AR 72227
Phone (501) 224-1303

10014 N Rodney Parham Rd
Little Rock, AR 72227
Phone (501) 224-5454

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1619902574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MARGEAUX DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137248",
            "telephone_number": "501-920-0158",
            "fax_number": "501-224-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 N RODNEY PARHAM RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72227",
            "telephone_number": "501-224-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W Pershing Blvd",
            "address_2": "Suite D.",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721142147",
            "country_code": "US",
            "telephone_number": "501-753-5189",
            "fax_number": "501-753-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148049742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.