Kathryn Louise Sprouse, PT
Individual provider Active NPI Physical Therapist · Fayetteville, AR
NPI 1720057748 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1720057748
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT296 (AR)
- Practice address
- 3215N Northills Blvd
Fayetteville, AR 72703 - Phone
- (479) 463-1115
- Fax
- (479) 463-5118
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT296 | AR | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT296 | AR | Yes |
Addresses
Primary practice location
3215N Northills Blvd
Fayetteville, AR 72703
Mailing address
3611 W Weir Rd
Fayetteville, AR 72704-5906
Phone (479) 443-3564
Other providers in Fayetteville, AR
- Ginger Spiller
- Joshua Michael Spore
- Chelsey Nicole Spragins
- Springfield Neurological and Spine Institute
- Springfield Neurological Institute, L.L.C.
- Mariah B Squires
- St Francis House Nwa, Inc
- St Francis House Nwa, Inc
- St Francis House Nwa, Inc
- St Francis House Nwa, Inc
All providers in Fayetteville, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.