Michael Victor Pharis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4070 Issued in AR

Practice address

318 N Greenwood Ave
Fort Smith, AR 72901-3454

Phone

(479) 806-8606

NPI assigned

Oct 26, 2018

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.

• Fort Smith Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Fort Smith, AR
  • NPI 1275018954

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1760959803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N GREENWOOD AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013454",
            "telephone_number": "479-806-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARIS",
        "first_name": "MICHAEL",
        "middle_name": "VICTOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Pham-Russell, DNP
• Thuylinh Pham, M.D.
• Alexander Phan
• Carol Ngoc Phan
• Soutnakhon Phandanouvong, APRN
• Pharmaceutical Investment Corp.
• Pharmacy Specialties Group (Inc)
• Sonexay Phasouvor, MHPP
• Taylor Phavong
• Cindy A Phelan, LMT

• Physical Therapist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.