NPIMap

University of Arkansas for Medical Sciences

Organization Active NPI Physical Therapy Clinic/Center · Little Rock, AR

NPI 1669807228 · NPPES record last updated Sep 13, 2013

Key facts

NPI
1669807228
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
License
PTA 1810 (AR)
Legal business name
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Practice address
629 Jack Stephens Dr
Little Rock, AR 72205-5525
Phone
(501) 526-5770
Fax
(501) 526-5775
NPI assigned
Sep 13, 2013
Organization subpart
No

Authorized official

Name
Mrs. MJ Orellano
Title
PT/Manager Outpatient Therapy
Phone
(501) 686-6102

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PTA 1810 AR Yes

Addresses

Primary practice location

629 Jack Stephens Dr
Little Rock, AR 72205-5525

Mailing address

629 Jack Stephens Dr
Little Rock, AR 72205-5525
Phone (501) 526-5770

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2013.

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1669807228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 JACK STEPHENS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055525",
            "telephone_number": "501-526-5770",
            "fax_number": "501-526-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 JACK STEPHENS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055525",
            "telephone_number": "501-526-5770",
            "fax_number": "501-526-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "ORELLANO",
        "authorized_official_first_name": "MJ",
        "authorized_official_title_or_position": "PT/MANAGER OUTPATIENT THERAPY",
        "authorized_official_telephone_number": "501-686-6102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PTA 1810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

All providers in Little Rock, AR · Physical Therapy Clinic/Center in Arkansas

Sources for this page

Verify at the official NPI Registry.