Individual provider Active NPI

Steven Wayne Forbush, P.T.

  • Physical Therapist
  • Conway, AR
National Provider Identifier
1699987511
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2879 Issued in AR
Practice address
201 Donaghey Ave
Physical Therapy Building
Conway, AR 72035-5003
Phone
(501) 450-5554
Fax
(501) 450-5822
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 2879 AR Primary

Addresses

Primary practice location

201 Donaghey Ave
Physical Therapy Building
Conway, AR 72035-5003

Mailing address

1530 Chinook
Conway, AR 72034-8473
Phone (501) 450-5554

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230517000782 AR Practitioner - Physical Therapist in Private Practice 4183080153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Physical Therapy LLCGroup PAC ID 6608314794, 2 clinicians

Practice addresses (Care Compare)

12511 Cantrell Rd
Suite 100
Little Rock, AR 72223-1610
Phone (501) 529-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 2879ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Physical Therapy LLC Physical Therapist CurrentSince Feb 28, 2025 Accepting new patients

Locations

12511 Cantrell Rd
Ste 100
Little Rock, AR 72223
Phone (501) 529-2010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699987511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 CHINOOK",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348473",
            "telephone_number": "501-450-5554",
            "fax_number": "501-450-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DONAGHEY AVE",
            "address_2": "PHYSICAL THERAPY BUILDING",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720355003",
            "telephone_number": "501-450-5554",
            "fax_number": "501-450-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBUSH",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.