Active NPI
Lissa L Gill Pray
- Physical Therapist
- Heber Springs, AR
National Provider Identifier
1821152257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT720
- Practice address
- 2000 Highway 25B
Suite A1
Heber Springs, AR 72543-6417 - Phone
- (501) 362-7195
- Fax
- (501) 362-7855
- NPI assigned
- Dec 20, 2006
- 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 Therapist | 225100000X | PT720 | AR | Primary |
Addresses
Primary practice location
2000 Highway 25B
Suite A1
Heber Springs, AR 72543-6417
Mailing address
2000 Highway 25B North
Suite A1
Heber Springs, AR 72543-6417
Phone (501) 362-7195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050209000717 | AR | Practitioner - Physical Therapist in Private Practice | 9830148899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Matthews Physical Therapy Inc
Practice addresses (Care Compare)
230 Hwy 65 N
Suite 6
Clinton, AR 72031-6676
Phone (501) 745-8881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthews Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Matthews Physical Therapy | Past | Accepting new patients |
Locations
230 Highway 65 N
Ste 6
Clinton, AR 72031
Phone (501) 362-7195
2000 Highway 25B
Ste A1
Heber Springs, AR 72543
Phone (501) 362-7195
Organizations & group practices 2
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
- Clinton, AR
- NPI 1558531061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1821152257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HIGHWAY 25B NORTH",
"address_2": "SUITE A1",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725436417",
"telephone_number": "501-362-7195",
"fax_number": "501-362-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HIGHWAY 25B",
"address_2": "SUITE A1",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725436417",
"telephone_number": "501-362-7195",
"fax_number": "501-362-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL PRAY",
"first_name": "LISSA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Heber Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.