Active NPI
Robin Aaron McElroy, P.T.
- Physical Therapist
- Crossett, AR
National Provider Identifier
1801853809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2302
- Practice address
- 101 E 3Rd Ave
Crossett, AR 71635-2915 - Phone
- (870) 364-2990
- Fax
- (870) 364-3104
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PT 2302 | AR | Primary |
Addresses
Primary practice location
101 E 3Rd Ave
Crossett, AR 71635-2915
Mailing address
101 E 3Rd Ave
Crossett, AR 71635-2915
Phone (870) 364-2990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X735 | Other | AR | BLUE CROSS BLUE SHIELD |
| 154414721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610001761 | AR | Practitioner - Physical Therapist in Private Practice | 7315920295 |
Reassigns benefits to 1 organization Practice locations: Crossett, AR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 E 3Rd Ave
Crossett, AR 71635-2915
Phone (870) 364-2990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2302 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McElroy Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Union Rehabilitation Center | Physical Therapist | Past | Accepting new patients |
| Coulter Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Union Rehabilitation Center | Past | Accepting new patients |
Locations
101 E 3rd Ave
Crossett, AR 71635
Phone (870) 305-3173
Organizations & group practices 4
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 Therapy Clinic/Center
- Crossett, AR
- NPI 1407248172
AR, Physical Therapist
-
- Physical Therapist
- Russellville, AR
- NPI 1649261942
-
- Rehabilitation Clinic/Center
- Farmerville, LA
- NPI 1760672422
-
- Physical Therapist
- Farmerville, LA
- NPI 1992805899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1801853809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E 3RD AVE",
"city": "CROSSETT",
"state": "AR",
"postal_code": "716352915",
"telephone_number": "870-364-2990",
"fax_number": "870-364-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E 3RD AVE",
"city": "CROSSETT",
"state": "AR",
"postal_code": "716352915",
"telephone_number": "870-364-2990",
"fax_number": "870-364-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "ROBIN",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 2302",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5X735",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154414721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossett, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.