Individual provider Active NPI

Robin Aaron McElroy, P.T.

  • Physical Therapist
  • Crossett, AR
National Provider Identifier
1801853809
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2302 Issued in AR
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

Updated by the provider on Aug 4, 2020

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 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

IdentifierTypeStateIssuer
5X735OtherARBLUE CROSS BLUE SHIELD
154414721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT 2302ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McElroy Physical Therapy Inc Physical Therapist CurrentSince May 5, 2020 Accepting new patients
Union Rehabilitation Center Physical Therapist Past Accepting new patients
Coulter Physical Therapy, Inc. Physical Therapist PastSince May 5, 2020 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.

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.

Verify at the official NPI Registry.