Active NPI
Laurel Sexton, PT
- Physical Therapist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3058
- Practice address
- 1125 N College Ave
Fayetteville, AR 72703-1908 - Phone
- (479) 713-8630
- NPI assigned
- Nov 8, 2006
- Last updated
- Jan 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6474 | MN | |
| Physical Therapist | 225100000X | PT3058 | AR | Primary |
Addresses
Primary practice location
1125 N College Ave
Fayetteville, AR 72703-1908
Mailing address
2399 Ariel St N
Suite B
Maplewood, MN 55109-2203
Other practice location 1
10900 73rd Ave N
Suite 112
Maple Grove, MN 55369-5400
Phone (763) 315-1296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 713-8630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3058 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Physical Therapist | Current | Accepting new patients |
| Therapy Partners, Ins | Physical Therapist | Past | Accepting new patients |
| University of Arkansas for Medical Sciences | Past | Accepting new patients | |
| Therapy Partners Inc | Physical Therapist | Past | Accepting new patients |
| Saunders Therapy Centers Inc | Physical Therapist | Past | Accepting new patients |
| Therapy Partners, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260
201 W Van Asche Loop
Fayetteville, AR 72703
Phone (479) 966-4311
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Physical Therapist
- Fayetteville, AR
- NPI 1427461045
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- NPI 1023795051
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Physical Therapist
- Bloomington, MN
- NPI 1952554495
-
- Physical Therapist
- Forest Lake, MN
- NPI 1821179607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1659440980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2399 ARIEL ST N",
"address_2": "SUITE B",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551092203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N COLLEGE AVE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727031908",
"telephone_number": "479-713-8630"
}
],
"practiceLocations": [
{
"address_1": "10900 73rd Ave N",
"address_2": "Suite 112",
"address_purpose": "LOCATION",
"city": "Maple Grove",
"state": "MN",
"postal_code": "553695400",
"country_code": "US",
"telephone_number": "763-315-1296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEXTON",
"first_name": "LAUREL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2021-01-08",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6474",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.