Organization Active NPI

Orthopedic Rehabilitation Centers LLC

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1780692491
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ORTHOPEDIC REHABILITATION CENTERS LLC
Practice address
13100 Chenal Pkwy
Little Rock, AR 72211-5214
Phone
(501) 975-4040
Fax
(501) 975-4043
NPI assigned
Aug 4, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Robert Tillman, PTNPI 1407883218
Title
Owner
Phone
(501) 975-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

13100 Chenal Pkwy
Little Rock, AR 72211-5214

Mailing address

13100 Chenal Pkwy
Little Rock, AR 72211-5214
Phone (501) 975-4040

Other identifiers 2

IdentifierTypeStateIssuer
DA7613OtherRAILROAD MEDICARE
5C870OtherBCBS OF ARKANSAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000191 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3678560695 Receives reassigned benefits from 14 practitioners
Practice locations: Little Rock, AR; North Little Rock, AR

National Provider Directory

National Provider Directory

Locations

2501 Dave Ward Dr
Ste A13
Conway, AR 72034
Phone (501) 513-0300

1300 Braden St
#C
Jacksonville, AR 72076
Phone (501) 241-1000

1320 Brookwood Dr
Ste B
Little Rock, AR 72202

1320 Brookwood Dr
Ste Bc
Little Rock, AR 72202
Phone (501) 661-4041

301 N Shackleford Rd
Ste B7
Little Rock, AR 72211
Phone (501) 221-3414

7311 N Hills Blvd
Ste 11
North Little Rock, AR 72116

5501 Willow Creek Dr
Ste 201
Springdale, AR 72762
Phone (479) 750-1544

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1780692491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115214",
            "telephone_number": "501-975-4040",
            "fax_number": "501-975-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 CHENAL PKWY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115214",
            "telephone_number": "501-975-4040",
            "fax_number": "501-975-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC REHABILITATION CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-975-4040",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA7613",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ARKANSAS",
            "identifier": "5C870",
            "state": null
        }
    ],
    "endpoints": [],
    "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 Oct 16, 2024; 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.