Individual provider Active NPI

Parker Ellen Tinnell

  • Physical Therapy Assistant
  • Hot Springs, AR
National Provider Identifier
1710690342
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
4770 Issued in AR
Practice address
205 Sawtooth Oak St
Hot Springs, AR 71901-7169
Phone
(501) 520-0016
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4770 AR Primary

Addresses

Primary practice location

205 Sawtooth Oak St
Hot Springs, AR 71901-7169

Mailing address

201 S Rogers Rd Apt R280
Hot Springs, AR 71913-6177
Phone (870) 299-2349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4770ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brookfield Physical Rehabilitation, LLC CurrentSince Jan 1, 2023 Accepting new patients
Select Rehabilitation, LLC Physical Therapy Assistant CurrentSince Jan 1, 2023 Accepting new patients

Organizations & group practices 2

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1710690342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ROGERS RD APT R280",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136177",
            "telephone_number": "870-299-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SAWTOOTH OAK ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017169",
            "telephone_number": "501-520-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNELL",
        "first_name": "PARKER",
        "middle_name": "ELLEN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.