Organization Active NPI

Paragould Therapies, PLC

  • Physical Therapist
  • Paragould, AR
National Provider Identifier
1780969477
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2121 Issued in AR
Legal business name
PARAGOULD THERAPIES, PLC
Practice address
293 Greene 606
Paragould, AR 72450-9785
Phone
(870) 236-0156
Fax
(870) 335-9564
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Kim Quinn, PT
Title
Physical Therapist/Owner
Phone
(870) 236-0156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2121 AR Primary

Addresses

Primary practice location

293 Greene 606
Paragould, AR 72450-9785

Mailing address

293 Greene 606
Paragould, AR 72450-9785
Phone (870) 236-0156

Other identifiers 1

IdentifierTypeStateIssuer
146235721MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1780969477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 GREENE 606",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724509785",
            "telephone_number": "870-236-0156",
            "fax_number": "870-335-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 GREENE 606",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724509785",
            "telephone_number": "870-236-0156",
            "fax_number": "870-335-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGOULD THERAPIES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "870-236-0156",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146235721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.