Organization Active NPI

Aurora Rehabilitation Clinic PA

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1831727890
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
AURORA REHABILITATION CLINIC PA
Practice address
4038 N Remington Dr Ste 3
Fayetteville, AR 72703-6314
Phone
(479) 935-2300
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Mrs. Chase Steppig
Title
Administrator
Phone
(479) 935-2300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4038 N Remington Dr Ste 3
Fayetteville, AR 72703-6314

Mailing address

4038 N Remington Dr Ste 3
Fayetteville, AR 72703-6314
Phone (479) 935-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AuroraRehabClinic.TylerBayles@142560.advancedmd-direct.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: aurorarehabclinic.tylerbayles@142560.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1831727890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036314",
            "telephone_number": "479-935-2300",
            "fax_number": "479-340-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4038 N REMINGTON DR STE 3",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036314",
            "telephone_number": "479-935-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA REHABILITATION CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "STEPPIG",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-935-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AuroraRehabClinic.TylerBayles@142560.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "advancedmd cie",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "509 E Millsap Rd Ste 109",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 3, 2024; 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.