Individual provider Active NPI

Caleb Rohde, PT, DPT

  • Physical Therapist
  • North Little Rock, AR
National Provider Identifier
1699377101
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4872 Issued in AR
Practice address
5532 John F Kennedy Blvd
North Little Rock, AR 72116-6708
Phone
(501) 588-3211
NPI assigned
Nov 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4872 AR Primary

Addresses

Primary practice location

5532 John F Kennedy Blvd
North Little Rock, AR 72116-6708

Mailing address

5532 John F Kennedy Blvd
North Little Rock, AR 72116-6708
Phone (501) 588-3211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921001139 AR Practitioner - Physical Therapist in Private Practice 6305243262 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4872ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jan 17, 2023 Accepting new patients
Matthews Physical Therapy Inc Physical Therapist CurrentSince Nov 5, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Jan 17, 2023 Accepting new patients
Synergy Care Southeast, LLC Physical Therapist CurrentSince Jul 19, 2023 Accepting new patients
Allied Therapy and Consulting Services, PA CurrentSince Jun 4, 2021 Accepting new patients
Beyond Boundaries, Inc Physical Therapist Past Accepting new patients
Matthews Physical Therapy PastSince Nov 5, 2023 Accepting new patients

Locations

230 Highway 65 N
Ste 6
Clinton, AR 72031
Phone (501) 362-7195

401 Southridge Pkwy
Heber Springs, AR 72543
Phone (501) 239-4685

2000 Highway 25B
Ste A1
Heber Springs, AR 72543
Phone (501) 362-7195

5532 John F Kennedy Blvd
North Little Rock, AR 72116
Phone (501) 588-3211

127 W Broad St
Ste 850
Lake Charles, LA 70601
Phone (337) 310-8500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1699377101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 JOHN F KENNEDY BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 JOHN F KENNEDY BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHDE",
        "first_name": "CALEB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.