NPIMap

Organization Active NPI

McBryde Therapy Ops, Inc.

  • Multi-Specialty Clinic/Center
  • Ash Flat, AR
National Provider Identifier
1841324209
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MCBRYDE THERAPY OPS, INC.
Practice address
75 Highway 62 412
Suite a
Ash Flat, AR 72513-9594
Phone
(870) 994-7778
Fax
(870) 994-2531
NPI assigned
Mar 15, 2007
Last updated
Nov 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Mrs. Alicia D. McBrydeNPI 1326263732
Title
Owner
Phone
(870) 994-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

75 Highway 62 412
Suite a
Ash Flat, AR 72513-9594

Mailing address

75 Highway 62 412
Suite a
Ash Flat, AR 72513-9594
Phone (870) 994-7778

Other identifiers 1

IdentifierTypeStateIssuer
157448742MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141204001424 AR Part B Supplier - Clinic/Group Practice 5395067235 Receives reassigned benefits from 2 practitioners
Practice locations: Ash Flat, AR

National Provider Directory

National Provider Directory

Locations

2 Tuff St
Ash Flat, AR 72513
Phone (870) 944-7778

75 Highway 62 412
Ste A
Ash Flat, AR 72513
Phone (870) 994-7778

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1841324209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 62 412",
            "address_2": "SUITE A",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139594",
            "telephone_number": "870-994-7778",
            "fax_number": "870-994-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 62 412",
            "address_2": "SUITE A",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139594",
            "telephone_number": "870-994-7778",
            "fax_number": "870-994-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBRYDE THERAPY OPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "MCBRYDE",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-994-7778",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157448742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ash Flat, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.