McBride Rehabilitation Group LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT1458 Issued in AR

Legal business name

MCBRIDE REHABILITATION GROUP LLC

Practice address

978 Coley Drive
Mountain Home, AR 72653

Phone

(870) 425-5881

Fax

(870) 425-5966

NPI assigned

Oct 2, 2006

Last updated

Aug 22, 2020By 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

Mr. Blake McBride, PT

Title

Owner

Phone

(870) 425-5881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811081268. Details of each certification follow.

• CCN 046570 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 046570

Legal name

MCBRIDE REHABILITATION GROUP LLC

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Feb 24, 1998

Last certification

Aug 27, 2015

Ownership / control type

Proprietary

Facility address

978 Coley Drive
Mountain Home, AR 72653

Locations

Practitioners 1

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.

• Noble Blake McBride, PT

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1245306786
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811081268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726541507",
            "telephone_number": "870-425-5881",
            "fax_number": "870-425-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 COLEY DRIVE",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-425-5881",
            "fax_number": "870-425-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRIDE REHABILITATION GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-425-5881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxus Inc. (Arkansas Counseling Associates)
• Aaron May, CRNA
• Lara A. May, DNP, APRN, NP-C
• Matthew Kyle McAlister, MD
• McBride Orthopaedics, PLLC
• Noble Blake McBride, PT
• Hannah Grace McCarthy, MD
• McClain Chiropractic Inc
• Jessica Leigh McClain, PHARM D
• Kimberly Ann McClelland, FNP-C

• Physical Therapy Clinic/Center in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Physical Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.