Active NPI
Kelsey James Regan, PTA
- Physical Therapy Assistant
- Greenbrier, AR
National Provider Identifier
1801650262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4832
- Practice address
- 17 Business Park Dr Ste 13
Greenbrier, AR 72058-9295 - Phone
- (501) 679-6011
- NPI assigned
- Feb 7, 2024
- 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 Therapy Assistant | 225200000X | 4832 | AR | Primary |
Addresses
Primary practice location
17 Business Park Dr Ste 13
Greenbrier, AR 72058-9295
Mailing address
43 Wellswood Dr
Greenbrier, AR 72058-9385
Phone (501) 733-2419
Other names 1
- Ms. Kelsey James La Pierre
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4832 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1801650262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WELLSWOOD DR",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720589385",
"telephone_number": "501-733-2419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 BUSINESS PARK DR STE 13",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720589295",
"telephone_number": "501-679-6011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGAN",
"first_name": "KELSEY",
"middle_name": "JAMES",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "4832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "LA PIERRE",
"middle_name": "JAMES",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenbrier, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.