NPIMap

Organization Active NPI

Global Rehab Associates

  • Pediatric Physical Therapist
  • Russellville, AR
National Provider Identifier
1689841397
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT1323 Issued in AR
Legal business name
GLOBAL REHAB ASSOCIATES
Practice address
2807 W 19TH St
Russellville, AR 72802-9067
Phone
(479) 967-7257
Fax
(479) 967-7257
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Ms. Connie Lynn Partin, M.S., P.T.NPI 1871551648
Title
Sole Proprietor
Phone
(479) 967-7257

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
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X PT1323 AR Primary

Addresses

Primary practice location

2807 W 19TH St
Russellville, AR 72802-9067

Mailing address

2807 W 19TH St
Russellville, AR 72802-9067
Phone (479) 967-7257

Other identifiers 1

IdentifierTypeStateIssuer
135683742MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1689841397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 W 19TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029067",
            "telephone_number": "479-967-7257",
            "fax_number": "479-967-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 W 19TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029067",
            "telephone_number": "479-967-7257",
            "fax_number": "479-967-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL REHAB ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "PARTIN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "479-967-7257",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT1323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135683742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.