Harrison Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT782 Issued in AR

Legal business name

HARRISON PHYSICAL THERAPY, INC.

Practice address

1420 Highway 62 65 N Ste a
Harrison, AR 72601-1959

Phone

(870) 743-4438

Fax

(870) 741-0736

NPI assigned

Jul 14, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Shenandoah Lee Borchers, P.T.

Title

Owner

Phone

(870) 743-4438

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• HARRISON PT Other name

Locations

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1841299658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 HIGHWAY 62 65 N STE A",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011959",
            "telephone_number": "870-743-4438",
            "fax_number": "870-741-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 HIGHWAY 62 65 N STE A",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011959",
            "telephone_number": "870-743-4438",
            "fax_number": "870-741-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "BORCHERS",
        "authorized_official_first_name": "SHENANDOAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-743-4438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT782",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1784",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139354742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARRISON PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Harrison Family Practice Clinic
• Harrison Family Practice Clinic, PA
• Harrison Healthcare LLC
• Harrison Mediquick PA
• Harrison Pediatrics
• Harrison Retirement Center
• Harrison School District
• Harrison Surgery Center, LLC
• Harrison Urology Clinic P.a.
• Mike Hastings, MHPP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.