Sohn McLean, PTA – Physical Therapy Assistant

Key facts

NPI: 1831464502
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapy Assistant 225200000X
License: PTA1299 (AR)
Practice address: 826 North St
Stamps, AR 71860-4522
Phone: (870) 533-4444
Fax: (870) 533-8841
NPI assigned: Mar 14, 2012
Sex: Male
Sole proprietor: No

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.

Signature Therapy Occupational Therapist · Texarkana, AR · NPI 1922216605

NPD (past)
Watermark Therapy LLC Occupational Therapist · Hope, AR · NPI 1841833365

NPD (past) PHYSICAL THERAPY ASSISTANT

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PTA1299	AR	MD	Physical Therapy Assistant

Practice roles

Organization	Specialty	Status	New patients
Signature Therapy		Past	Accepting new patients
Watermark Therapy LLC	Physical Therapy Assistant	Past since Nov 3, 2019	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapy Assistant	225200000X	PTA1299	AR	Yes

Addresses

Primary practice location

826 North St
Stamps, AR 71860-4522

Mailing address

3410 Jack Cullen Dr
Texarkana, AR 71854-2548

Other providers in Stamps, AR

All providers in Stamps, AR · Physical Therapy Assistant in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.