Mary Beth Lenderman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3107 Issued in AR

Practice address

3625 W Chestnut St
Rogers, AR 72756-0351

Phone

(479) 246-0101

Fax

(479) 246-0606

NPI assigned

Dec 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1831604040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SUSSEX AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458894",
            "telephone_number": "501-529-1692",
            "fax_number": "479-246-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W CHESTNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560351",
            "telephone_number": "479-246-0101",
            "fax_number": "479-246-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENDERMAN",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3107",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Dental
• Legacy Family Chiropractic of Nwa LLC
• Legacy Healthcare Services Inc
• Madison A Lehman
• Daniel A Leis, D.D.S.
• William R Lenderman, D.D.S.
• Sandra Lenon, MA, CCC-SLP
• Constance Lents, MD
• Tara D. Lentz, LPC
• Kristen Lepage, ND

• Physical Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.