Arkansas Center for Physical Medicine & Rehabilitation

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

992 Issued in AR

Legal business name

ARKANSAS CENTER FOR PHYSICAL MEDICINE & REHABILITATION

Practice address

636 W Broadway St
North Little Rock, AR 72114-5526

Phone

(501) 374-1153

Fax

(501) 374-6213

NPI assigned

Dec 16, 2005

Last updated

Jan 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brandlyn Michelle Frensley

Title

Office Manager

Phone

(501) 374-1153

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Frederick Bennett, DC

  • Chiropractor
  • North Little Rock, AR
  • NPI 1407832801
  Medicare reassignment NPD
• Kristin Marie Burdett, MASSAGE THERAPIST

  • Massage Therapist
  • North Little Rock, AR
  • NPI 1033222740
  NPD (past)
• Felicia Anna Carrillo, LMT

  • Contractor
  • North Little Rock, AR
  • NPI 1790821890
  NPD (past)
• Marie A Graham, APN

  • Acute Care Nurse Practitioner
  • No Little Rock, AR
  • NPI 1881878064
  NPD (past)
• Nicole Joy Hurtt, LMT

  • Massage Therapist
  • North Little Rock, AR
  • NPI 1962670984
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1801872304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 W BROADWAY ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145526",
            "telephone_number": "501-374-1153",
            "fax_number": "501-374-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 W BROADWAY ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145526",
            "telephone_number": "501-374-1153",
            "fax_number": "501-374-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS CENTER FOR PHYSICAL MEDICINE & REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "FRENSLEY",
        "authorized_official_first_name": "BRANDLYN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-374-1153",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "AR",
            "license": "992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350052757",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SETH WILSON UPIN",
            "identifier": "5AN27",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BENNETT UPIN",
            "identifier": "T20518",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SETH WILSON LICENSE",
            "identifier": "15924",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. SETH WILSON NPI",
            "identifier": "1093083271",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1801872304",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "57869",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. BENNETT PIN",
            "identifier": "59014",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE-DR. DAVID MORSE",
            "identifier": "15723",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-DR MORSE",
            "identifier": "1619281185",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ark Restorative Mental Health
• Arkansas Adult Psychotherapy Center, PLLC
• Arkansas Advanced Care, LLC (LifeTouch Health Primary Care)
• Arkansas All Care
• Arkansas Allergy & Asthma Clinic, P.a.
• Arkansas Compression Shop LLC
• Arkansas CVS Pharmacy LLC (CVS Pharmacy #10975)
• Arkansas Ear Nose & Throat, P.a.
• Arkansas Families First LLC
• Arkansas Family Care Network

• Orthopedic Chiropractor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Orthopedic Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.