Rhonda Ann Cardin, P.T.
Individual provider Active NPI Physical Therapist · El Dorado, AR
NPI 1659463586 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659463586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- AR541 (AR)
- Practice address
- 203 W. Grove St.
Grove Street PT Clinic
El Dorado, AR 71730-4646 - Phone
- (870) 862-4042
- Fax
- (870) 864-0218
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR541 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grove Street Physical Therpay Clinic & Rehab SVCS Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AR541 | AR | Yes |
Addresses
Primary practice location
203 W. Grove St.
Grove Street PT Clinic
El Dorado, AR 71730-4646
Mailing address
1105 Grist Mill Rd
El Dorado, AR 71730-6794
Phone (870) 863-3691
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T497 | Other | AR | ABCBS PROVIDER NUMBER |
Other providers in El Dorado, AR
- Sharita Maurice Cain
- Calhouns Arkansas Medical Supply Company
- Matthew Dates Callaway
- Shanna Callaway
- Alison L Cardin
- Cardiology Care of South Arkansas, Inc
- Casey Wilson, NP LLC
- Jennifer Cassel
- Abby M Cate
- Eileen Cauley
All providers in El Dorado, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.