Organization Active NPI

Arkansas Sports Performance Center

  • Physical Therapy Clinic/Center
  • Little Rock, AR
National Provider Identifier
1699959577
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2870 Issued in AR
Legal business name
ARKANSAS SPORTS PERFORMANCE CENTER
Practice address
4215 S Shackleford Rd Ste 4D
Little Rock, AR 72204-7115
Phone
(501) 539-3278
NPI assigned
Dec 27, 2007
Last updated
Sep 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Mr. William H Maack, ATC, CSCS
Title
Owner
Phone
(501) 539-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2870 AR Primary

Addresses

Primary practice location

4215 S Shackleford Rd Ste 4D
Little Rock, AR 72204-7115

Mailing address

4215 S Shackleford Rd Ste 4D
Little Rock, AR 72204-7115
Phone (501) 539-3278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1699959577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 S SHACKLEFORD RD STE 4D",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047115",
            "telephone_number": "501-539-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 S SHACKLEFORD RD STE 4D",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047115",
            "telephone_number": "501-539-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS SPORTS PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "MAACK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-539-3278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "2870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.