Active NPI
Christopher Parham
- Developmental Disabilities Clinic/Center
- Trumann, AR
National Provider Identifier
1750159208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Practice address
- 528 Industrial Park Access Road
Trumann, AR 72472 - NPI assigned
- Dec 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
528 Industrial Park Access Road
Trumann, AR 72472
Mailing address
528 Industrial Park Access Road
Trumann, AR 72472
Phone (870) 418-1071
Other practice location 1
528 Industrial Park Access Road
Trumann, AR 72472
Phone (870) 418-1071
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Arkansas, LLC | Current | Accepting new patients |
Locations
528 Industrial Park Dr
Trumann, AR 72472
Phone (870) 418-1071
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 and National Provider Directory roles.
-
- Pediatric Physical Therapist
- Trumann, AR
- NPI 1063039980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1750159208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 INDUSTRIAL PARK ACCESS ROAD",
"city": "TRUMANN",
"state": "AR",
"postal_code": "72472",
"telephone_number": "870-418-1071",
"fax_number": "870-418-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 INDUSTRIAL PARK ACCESS ROAD",
"city": "TRUMANN",
"state": "AR",
"postal_code": "72472"
}
],
"practiceLocations": [
{
"address_1": "528 Industrial Park Access Road",
"address_purpose": "LOCATION",
"city": "Trumann",
"state": "AR",
"postal_code": "72472",
"country_code": "US",
"telephone_number": "870-418-1071",
"fax_number": "870-418-1086",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARHAM",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-14",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trumann, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.