Arkansas Physical Therapy Services of Conway, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ARKANSAS PHYSICAL THERAPY SERVICES OF CONWAY, LLC

Doing business as

Arkansas Physical Therapy Services of Conway

Practice address

1998 W Grand Blvd
Fayetteville, AR 72704-5077

Phone

(501) 273-5000

Fax

(501) 273-5001

NPI assigned

Jun 25, 2020

Last updated

Aug 28, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua L. Proffitt

Title

Executive Vice President

Phone

(337) 233-1307

Specialties & licenses 3

Addresses

Other names 1

• Arkansas Physical Therapy Services of Conway Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Putnam

  • Physical Therapist
  • Springdale, AR
  • NPI 1972367829
  Medicare reassignment
• Matthew J Schrand, DPT

  • Orthopedic Physical Therapist
  • Little Rock, AR
  • NPI 1417914649
  Medicare reassignment

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1780200782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 W GRAND BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045077",
            "telephone_number": "501-273-5000",
            "fax_number": "501-273-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS PHYSICAL THERAPY SERVICES OF CONWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Physical Therapy Services of Conway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Physical Therapy Services of Conway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.