Individual provider Active NPI

Roger Alan Paschall, PTA

  • Physical Therapy Assistant
  • Little Rock, AR
National Provider Identifier
1760090849
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1805 Issued in AR
Practice address
6124 Northmoor Dr
Little Rock, AR 72204-2504
Phone
(501) 765-1215
NPI assigned
Jul 15, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 1805 AR Primary

Addresses

Primary practice location

6124 Northmoor Dr
Little Rock, AR 72204-2504

Mailing address

12904 Highway 5 Lot 26
Cabot, AR 72023-7703
Phone (501) 259-1632

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.oncitetherapies.net Other

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
1805ARMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1760090849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12904 HIGHWAY 5 LOT 26",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237703",
            "telephone_number": "501-259-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 NORTHMOOR DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042504",
            "telephone_number": "501-765-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHALL",
        "first_name": "ROGER",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.oncitetherapies.net",
            "affiliation": "N",
            "endpointDescription": "web address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "data",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "6124 Northmoor Dr",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722042504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.