Active NPI
Regina Elizabeth Thurman, MD
- Physical Medicine & Rehabilitation Physician
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- E-4490
- Practice address
- 1708 E Joyce Blvd
Fayetteville, AR 72703-5252 - Phone
- (479) 301-2565
- Fax
- (479) 301-2717
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | E-4490 | AR | Primary |
Addresses
Primary practice location
1708 E Joyce Blvd
Fayetteville, AR 72703-5252
Mailing address
1708 E Joyce Blvd
Fayetteville, AR 72703-5252
Phone (479) 301-2565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E-4490 | Other | AR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of Arkansas College of Medicine, 2002
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1708 E Joyce Blvd
Suite 3
Fayetteville, AR 72703-5251
Phone (479) 301-2565
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Pain and Wellness | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Ancillary Innovations | Current | Accepting new patients | |
| Optimal Pain and Wellness | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
1708 E Joyce Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 301-2565
1708 E Joyce Blvd
Fayetteville, AR 72703
Phone (479) 301-2565
Interoperability endpoints
- regina.thurman@4085.securemail.prognocis.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Fayetteville, AR
- NPI 1487920146
-
- Clinical Medical Laboratory
- Fayetteville, AR
- NPI 1962899989
-
- Physical Medicine & Rehabilitation Physician
- Van Buren, AR
- NPI 1619605094
-
- Physical Medicine & Rehabilitation Physician
- Bentonville, AR
- NPI 1285362665
-
- Durable Medical Equipment & Medical Supplies
- Fayetteville, AR
- NPI 1316346000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1689682353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035252",
"telephone_number": "479-301-2565",
"fax_number": "479-301-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 E JOYCE BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035252",
"telephone_number": "479-301-2565",
"fax_number": "479-301-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "REGINA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AR",
"license": "E-4490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "E-4490",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.