6574Bravo LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

6574BRAVO LLC

Doing business as

Physiohaus

Practice address

1416 Highway 62 65 N Ste C
Harrison, AR 72601-1959

Phone

(870) 416-5555

Fax

(870) 416-3990

NPI assigned

Mar 13, 2025

Last updated

Mar 21, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

6574BRAVO LLCAs reported in NPPES

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

Authorized official

Name

Joni Chy, PT, DPTNPI 1851383038

Title

Ceo

Phone

(870) 416-3555

Specialties & licenses 1

Addresses

Other names 1

• PHYSIOHAUS Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Part of

6574Bravo LLC

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joni Michelle Chy, PT, DPT, OCS

  • Physical Therapist
  • Harrison, AR
  • NPI 1851383038
  Medicare reassignment Care Compare group NPD Authorized official
• Kayla Michelle Smith, PT, DPT

  • Physical Therapist
  • Harrison, AR
  • NPI 1689290280
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1741824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1679373237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OLD FARM RD S",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726018629",
            "telephone_number": "870-577-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 HIGHWAY 62 65 N STE C",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011959",
            "telephone_number": "870-416-5555",
            "fax_number": "870-416-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "6574BRAVO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "6574BRAVO LLC",
        "enumeration_date": "2025-03-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "CHY",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-416-3555",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHYSIOHAUS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PHYSIOHAUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ali F Abdelaal, MD
• Abilities Pediatric PLLC
• Henry Deguzman Adamos, LPT
• Remedios Magtoto Adamos, OTR/L
• Christopher Luke Adams

• Physical Therapy Clinic/Center in Harrison, AR
• Providers in Harrison, AR by specialty
• Physical Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.