Organization 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
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adult Development Center of Benton Co Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.