Individual provider Active NPI

Gayle Quattlebaum, P.T.

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1790727105
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT497 Issued in AR
Practice address
501 Jackson Stephens Drive
Uams-University Rehab, Ground Floor
Little Rock, AR 72205-7199
Phone
(501) 227-9920
Fax
(501) 227-5223
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT497 AR Primary

Addresses

Primary practice location

501 Jackson Stephens Drive
Uams-University Rehab, Ground Floor
Little Rock, AR 72205-7199

Mailing address

501 Jackson Stephens Drive Uams Mailbox #626
University Rehab, Ground Floor
Little Rock, AR 72205-7199
Phone (501) 661-7955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT497ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maumelle Physical Therapy, Inc. Physical Therapist PastSince Sep 21, 2009 Accepting new patients
M.J. Orellano, PT PA Physical Therapist Past Accepting new patients
Sue Carver, a.T.C./M.P.T. Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1790727105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 JACKSON STEPHENS DRIVE UAMS MAILBOX #626",
            "address_2": "UNIVERSITY REHAB, GROUND FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057199",
            "telephone_number": "501-661-7955",
            "fax_number": "501-661-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 JACKSON STEPHENS DRIVE",
            "address_2": "UAMS-UNIVERSITY REHAB, GROUND FLOOR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057199",
            "telephone_number": "501-227-9920",
            "fax_number": "501-227-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUATTLEBAUM",
        "first_name": "GAYLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT497",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 2013; 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.