Active NPI
Amber Dee Whittaker, MS, PT
- Physical Therapist
- Bentonville, AR
National Provider Identifier
1851436786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2540
- Practice address
- 2705 SE G St Ste 1
Bentonville, AR 72712-3742 - Phone
- (479) 273-2345
- Fax
- (473) 273-9391
- NPI assigned
- Feb 20, 2007
- 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 Therapist | 225100000X | PT2540 | AR | Primary |
Addresses
Primary practice location
2705 SE G St Ste 1
Bentonville, AR 72712-3742
Mailing address
PO Box 585
Pea Ridge, AR 72751-0585
Phone (479) 273-2345
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2540 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Arkansas Pediatric Therapy Services, Inc | 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.
-
- Pediatric Physical Therapist
- Pea Ridge, AR
- NPI 1447472865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851436786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 585",
"city": "PEA RIDGE",
"state": "AR",
"postal_code": "727510585",
"telephone_number": "479-273-2345",
"fax_number": "473-273-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 SE G ST STE 1",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123742",
"telephone_number": "479-273-2345",
"fax_number": "473-273-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTAKER",
"first_name": "AMBER",
"middle_name": "DEE",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2540",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.