Organization Active NPI

Tamra Physical Therapy, LLC

Doing business as Van Buren Physical Therapy

  • Physical Therapist
  • Van Buren, AR
National Provider Identifier
1679997928
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3337 Issued in AR
Legal business name
TAMRA PHYSICAL THERAPY, LLC
Doing business as
Van Buren Physical Therapy
Practice address
619 Fayetteville Rd
Van Buren, AR 72956-3418
Phone
(479) 474-0041
Fax
(479) 474-0099
NPI assigned
Feb 6, 2014
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Dr. Tamra Ann Brown, DPTNPI 1841589959
Title
Physical Therapist
Phone
(479) 474-0041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3337 AR Primary

Addresses

Primary practice location

619 Fayetteville Rd
Van Buren, AR 72956-3418

Mailing address

619 Fayetteville Rd
Van Buren, AR 72956-3418
Phone (479) 474-0041

Other names 1

  • Van Buren Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140505000183 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0840423539 Receives reassigned benefits from 1 practitioner
Practice locations: Van Buren, AR

National Provider Directory

National Provider Directory

Locations

60 Northridge Dr
Van Buren, AR 72956
Phone (479) 689-5067

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1679997928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729563418",
            "telephone_number": "479-474-0041",
            "fax_number": "479-474-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 FAYETTEVILLE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729563418",
            "telephone_number": "479-474-0041",
            "fax_number": "479-474-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMRA PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "479-474-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Buren Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.