Active NPI
Adult Development Ctr of Benton Co., Inc. Dba Open Avenues
Doing business as Open Avenues
- Physical Therapist
- Rogers, AR
National Provider Identifier
1679876536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ADULT DEVELOPMENT CTR OF BENTON CO., INC. DBA OPEN AVENUES
- Doing business as
- Open Avenues
- Practice address
- 2202 N 24TH St
Rogers, AR 72756-2304 - Phone
- (479) 636-5082
- Fax
- (479) 636-5671
- NPI assigned
- Dec 15, 2010
- Last updated
- Dec 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Brenda K. Neal
- Title
- Executive Director
- Phone
- (479) 636-5082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
2202 N 24TH St
Rogers, AR 72756-2304
Mailing address
PO Box 908
Rogers, AR 72757-0908
Phone (479) 636-5082
Other names 1
- Open Avenues
National Provider Directory
National Provider Directory- Tax ID family
- Adult Development Center of Benton Co Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmentally Disabled Services Day Training Agency
- Rogers, AR
- NPI 1407078942
-
dba Open Avenues
- Occupational Therapist
- Rogers, AR
- NPI 1407151087
Locations
2202 N 24th St
Rogers, AR 72756
Phone (479) 636-5082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292371200000",
"number": "1679876536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908",
"city": "ROGERS",
"state": "AR",
"postal_code": "727570908",
"telephone_number": "479-636-5082",
"fax_number": "479-636-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 N 24TH ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727562304",
"telephone_number": "479-636-5082",
"fax_number": "479-636-5671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADULT DEVELOPMENT CTR OF BENTON CO., INC. DBA OPEN AVENUES",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A",
"authorized_official_last_name": "NEAL",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "479-636-5082",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Open Avenues",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rogers, AR
- Alfred R Addington, MD
- Addus Healthcare, Inc. (Addus HomeCare)
- Jacob B Adkison
- Adult Development Center of Benton Co., Inc.
- Adult Development Center of Benton Co., Inc. Dba Open Avenues (Open Avenues)
- Advanced Physical Therapy LLC
- Advanced Wound Therapy - Ar, LLC
- Aero Med Express, Inc.
- Priyata Agrawal, DDS
- Orlando F Aguilar-Guzman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.