Active NPI
Gayle Quattlebaum, P.T.
- Physical Therapist
- Little Rock, AR
National Provider Identifier
1790727105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT497
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT497 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maumelle Physical Therapy, Inc. | Physical Therapist | Past | 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.
-
- Physical Therapist
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- NPI 1194753160
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- Physical Therapist
- Conway, AR
- NPI 1487615779
-
- Physical Therapist
- Little Rock, AR
- NPI 1356383764
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.