Individual provider Active NPI

Charlotte Rebecca Pearson, DPT, PT

  • Physical Therapist
  • Springdale, AR
National Provider Identifier
1659789790
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3883 Issued in AR
Practice address
7058 W Sunset Ave Ste 9a
Springdale, AR 72762-0697
Phone
(479) 751-8437
Fax
(479) 802-0575
NPI assigned
Jul 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP032230T MO
Physical Therapist 225100000X PT 3883 AR Primary

Addresses

Primary practice location

7058 W Sunset Ave Ste 9a
Springdale, AR 72762-0697

Mailing address

PO Box 219297
Kansas City, MO 64121-9297
Phone (417) 680-0806

Other practice location 1

1995 Highway 62 412
Highland, AR 72542-9262
Phone (870) 856-4325

Other practice location 2

4500 E 32nd St Ste B
Joplin, MO 64804-4404
Phone (417) 680-0806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141009000296 AR Practitioner - Physical Therapist in Private Practice 9739309022 Reassigns benefits to 3 organizations
I20240702001115 MO Practitioner - Physical Therapist in Private Practice 9739309022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Physical Therapy and Sports Rehab LLCGroup PAC ID 9234236183, 16 clinicians

Practice addresses (Care Compare)

3485 Bella Vista Way
Bella Vista, AR 72714-5740
Phone (479) 855-2434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Arc Physical Therapy Plus LP Physical Therapist CurrentSince Jun 20, 2024 Accepting new patients
Premiere Physical Therapy and Sports Rehab LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Therapy Works, Inc. Physical Therapist CurrentSince Aug 1, 2014 Accepting new patients

Locations

3485 Bella Vista Way
Bella Vista, AR 72714
Phone (479) 855-2434

1600 SE J St
#4
Bentonville, AR 72712
Phone (479) 273-9933

1995 Highway 62 412
Highland, AR 72542
Phone (870) 856-4325

6400 Glenwood St
Ste 111
Overland Park, KS 66202
Phone (877) 344-2721

4500 E 32nd St
#B
Joplin, MO 64804
Phone (417) 680-0806

144 Evergreen Pkwy
Lebanon, MO 65536
Phone (417) 657-8000

527 N State Route 291
Ste A
Liberty, MO 64068
Phone (816) 792-0849

113 Johnstown Dr
Rogersville, MO 65742
Phone (417) 753-7735

1711 W Battlefield St
Ste Q
Springfield, MO 65807
Phone (417) 799-3377

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1659789790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219297",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219297",
            "telephone_number": "417-680-0806",
            "fax_number": "877-766-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7058 W SUNSET AVE STE 9A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620697",
            "telephone_number": "479-751-8437",
            "fax_number": "479-802-0575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 Highway 62 412",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "AR",
            "postal_code": "725429262",
            "country_code": "US",
            "telephone_number": "870-856-4325",
            "fax_number": "870-856-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 E 32nd St Ste B",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648044404",
            "country_code": "US",
            "telephone_number": "417-680-0806",
            "fax_number": "877-766-1658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CHARLOTTE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP032230T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.