Individual provider Active NPI

Kristen Davidson, PT, DPT

  • Physical Therapist
  • Siloam Springs, AR
National Provider Identifier
1659056299
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3426 Issued in AR
Practice address
1675 W Jefferson St
Siloam Springs, AR 72761-3057
Phone
(479) 524-8028
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 PT3426 AR Primary

Addresses

Primary practice location

1675 W Jefferson St
Siloam Springs, AR 72761-3057

Mailing address

21711 Carousel Dr
Siloam Springs, AR 72761-5362
Phone (479) 957-8080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230731001992 AR Practitioner - Physical Therapist in Private Practice 1951762400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stinnett and Scarbrough P.aGroup PAC ID 9638073125, 4 clinicians
Highlands Oncology Group PAGroup PAC ID 7416976196, 78 clinicians

Practice addresses (Care Compare)

1675 W Jefferson St
Suite a
Siloam Springs, AR 72761-3001
Phone (479) 524-8028

3901 Pkwy Cir
Springdale, AR 72762-6362
Phone (479) 587-1700

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
86.39
Promoting interoperability
100
Improvement activities
40
Cost
75.48

Merit-based Incentive Payment System (MIPS)

Final score
86.27 of 100Reported as group
Quality
80
Improvement activities
40
Cost
80.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Oncology Group PA CurrentSince Sep 23, 2024 Accepting new patients
Highlands Oncology Group, PA CurrentSince Sep 23, 2024 Accepting new patients
Stinnett & Scarbrough P.a, Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients

Locations

3232 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 695-1199

2526 S Pinnacle Hills Pkwy
Rogers, AR 72758
Phone (479) 271-8900

1675 W Jefferson St
Ste A
Siloam Springs, AR 72761
Phone (479) 524-8028

Organizations & group practices 3

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1659056299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21711 CAROUSEL DR",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727615362",
            "telephone_number": "479-957-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 W JEFFERSON ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613057",
            "telephone_number": "479-524-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "KRISTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.