Organization Active NPI

Nwa Orthospine Rehab Services Inc

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1821233438
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NWA ORTHOSPINE REHAB SERVICES INC
Practice address
2783 N Shiloh Dr
Suite 102
Fayetteville, AR 72704-6983
Phone
(479) 444-6768
Fax
(479) 444-6264
NPI assigned
Dec 10, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Norma Lee Sebag-Stockstill
Title
Office Manager
Phone
(479) 444-6768

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

2783 N Shiloh Dr
Suite 102
Fayetteville, AR 72704-6983

Mailing address

PO Box 841
Harrison, AR 72602-0841
Phone (479) 444-6768

National Provider Directory

National Provider Directory

Locations

501 N Main St
#D
Harrison, AR 72601
Phone (870) 741-1206

125 S Bloomington St
#A
Lowell, AR 72745

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1821233438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726020841",
            "telephone_number": "479-444-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2783 N SHILOH DR",
            "address_2": "SUITE 102",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046983",
            "telephone_number": "479-444-6768",
            "fax_number": "479-444-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA ORTHOSPINE REHAB SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "SEBAG-STOCKSTILL",
        "authorized_official_first_name": "NORMA LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-444-6768"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.