Active NPI
Paragould Therapies, PLC
- Physical Therapist
- Paragould, AR
National Provider Identifier
1780969477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146235721 | Medicaid | AR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Paragould, AR
- NPI 1154455087
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.