Garrett O'Neal Stanley, P.T., D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3201 Issued in AR

Practice address

1115 Ferguson Dr
Benton, AR 72015-3512

Phone

(501) 315-0639

Fax

(501) 315-7278

NPI assigned

Jan 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Saline County Physical Therapy

  • Physical Therapy Clinic/Center
  • Benton, AR
  • NPI 1164437646

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1730419151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 CHARLES CT",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229254",
            "telephone_number": "501-358-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 FERGUSON DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153512",
            "telephone_number": "501-315-0639",
            "fax_number": "501-315-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "GARRETT",
        "middle_name": "O'NEAL",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Springer
• Kim Staats
• Timothy Staggs, RECOVERY ASSISTANT
• Stephanie Kay Stalnaker
• Royce Allan Stanford Jr., M.D.
• Pete Stanley, CMP
• Dean Stapleton
• Jessica L Starkey, PLMSW
• State of Arkansas
• Kristy Ann Staton, LPC

• Physical Therapist in Benton, AR
• Providers in Benton, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.