Active NPI
Aurora Rehabilitation Clinic PA
- Substance Use Disorder Rehabilitation Clinic/Center
- Fayetteville, AR
National Provider Identifier
1831727890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | AuroraRehabClinic.TylerBayles@142560.advancedmd-direct.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.