Individual provider Active NPI

William Elwood Bieker, P.T.

  • Physical Therapist
  • Ozark, AR
National Provider Identifier
1821327800
Registry record updated Dec 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2357 Issued in AR
Practice address
257 Airport Rd Ste E
Ozark, AR 72949-9266
Phone
(479) 667-3710
NPI assigned
Dec 21, 2009
Last updated
Dec 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2009

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 2357 AR Primary

Addresses

Primary practice location

257 Airport Rd Ste E
Ozark, AR 72949-9266

Mailing address

9305 Houston St
Fort Smith, AR 72903-5656
Phone (479) 719-4723

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315001150 AR Practitioner - Physical Therapist in Private Practice 7214069400 Reassigns benefits to 1 organization

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)

257 Airport Rd
Suite E
Ozark, AR 72949-9266
Phone (479) 667-3710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2357ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Mountain Healthcare Services Inc. Physical Therapist CurrentSince May 19, 2010 Accepting new patients

Locations

257 Airport Rd
Ste E
Ozark, AR 72949
Phone (479) 667-3710

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1821327800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 HOUSTON ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035656",
            "telephone_number": "479-719-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 AIRPORT RD STE E",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "729499266",
            "telephone_number": "479-667-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEKER",
        "first_name": "WILLIAM",
        "middle_name": "ELWOOD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.