Active NPI
Laura Ann Hardwick, PTA
- Physical Therapy Assistant
- Bentonville, AR
National Provider Identifier
1831690494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4208
- Practice address
- 901 SE 28TH St Ste 11
Bentonville, AR 72712-3890 - Phone
- (479) 402-9400
- Fax
- (479) 308-0223
- NPI assigned
- Feb 27, 2018
- 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 Therapy Assistant | 225200000X | 4208 | AR | Primary |
Addresses
Primary practice location
901 SE 28TH St Ste 11
Bentonville, AR 72712-3890
Mailing address
901 SE 28TH St Ste 11
Bentonville, AR 72712-3890
Phone (479) 402-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4208 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bentonville Physical Therapy Specialists | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Bentonville, AR
- NPI 1437696440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1831690494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SE 28TH ST STE 11",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123890",
"telephone_number": "479-402-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 SE 28TH ST STE 11",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123890",
"telephone_number": "479-402-9400",
"fax_number": "479-308-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDWICK",
"first_name": "LAURA",
"middle_name": "ANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-27",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "4208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.