Van Buren Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2607 Issued in AR

Legal business name

VAN BUREN PHYSICAL THERAPY

Practice address

420 Pointer TRL W
Van Buren, AR 72956-2235

Phone

(479) 471-3330

Fax

(479) 471-3331

NPI assigned

Jul 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adam Leavell, M.P.TNPI 1326065111

Title

Owner

Phone

(801) 294-6907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam S Leavell, M.P.T

  • Physical Therapist
  • Lawrence, KS
  • NPI 1326065111
  NPD (past) Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659397214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "888-700-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562235",
            "telephone_number": "479-471-3330",
            "fax_number": "479-471-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN BUREN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEAVELL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-294-6907",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.