Roxanne Garrison, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 1362 Issued in AR

Practice address

705 College Street
Carroll County Learning Center
Berryville, AR 72616

Phone

(479) 423-3000

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carroll County Learning Center

  • Developmentally Disabled Services Day Training Agency
  • Berryville, AR
  • NPI 1669690830
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1659706554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 COLLEGE ST.",
            "address_2": "CARROLL COUNTY LEARNING CENTER",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "72616",
            "telephone_number": "870-423-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 COLLEGE STREET",
            "address_2": "CARROLL COUNTY LEARNING CENTER",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "72616",
            "telephone_number": "479-423-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 1362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis John Fellers, RPT
• Julie Fellers, PTA
• Mary Finch
• William K.. Flake, MD
• Lindsey Gabbard, SLP
• Geoffrey B. West, DDS, PLLC
• Lawrence Monroe George, M.D.
• Elizabeth Jovon Gladden, PTA
• Johnnie Ruth Graham
• Elizabeth Gray, QBHP

• Physical Therapy Assistant in Berryville, AR
• Providers in Berryville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.