Active NPI
Arkansas Sports Performance Center
- Physical Therapy Clinic/Center
- Little Rock, AR
National Provider Identifier
1699959577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 2870
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Arkansas School for the Deaf
- Arkansas Specialty Care Centers PA
- Arkansas Specialty Care Centers PA
- Arkansas Specialty Therapy and Diagnostic Centers LLC (Arkansas Specialty Physical Therapy Center)
- Arkansas Spine & Sports Institiute
- Arkansas Surgery & Endoscopy Center
- Arkansas Telemedicine Associates, PC
- Arkansas TMJ Center LLC
- Arkansas Urogynecology and Womens Health LLC
- Arkansas Urology, P.a.
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.