Organization Active NPI

Functional Testing Centers, Inc.

  • Other Specialist/Technologist
  • Pine Bluff, AR
National Provider Identifier
1720129778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
FUNCTIONAL TESTING CENTERS, INC.
Practice address
3120 S Hazel St
Suite B
Pine Bluff, AR 71603-5740
Phone
(888) 384-8639
Fax
(877) 534-3267
NPI assigned
Feb 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rick L Byrd Jr., M.ED.
Title
President
Phone
(888) 384-8639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

3120 S Hazel St
Suite B
Pine Bluff, AR 71603-5740

Mailing address

3120 S Hazel St
Suite B
Pine Bluff, AR 71603-5740
Phone (888) 384-8639

National Provider Directory

National Provider Directory

Locations

3120 S Hazel St
Ste B
Pine Bluff, AR 71603
Phone (888) 384-8639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720129778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 S HAZEL ST",
            "address_2": "SUITE B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035740",
            "telephone_number": "888-384-8639",
            "fax_number": "877-534-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S HAZEL ST",
            "address_2": "SUITE B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035740",
            "telephone_number": "888-384-8639",
            "fax_number": "877-534-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL TESTING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-384-8639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.