Individual provider Active NPI

Ma Helena Garcia Quimbo, PT

  • Physical Therapist
  • Lowell, AR
National Provider Identifier
1851646038
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1563 Issued in AR
Practice address
125 S Bloomington St
Ste a
Lowell, AR 72745-9493
Phone
(479) 770-5655
Fax
(479) 770-5656
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1563 AR Primary

Addresses

Primary practice location

125 S Bloomington St
Ste a
Lowell, AR 72745-9493

Mailing address

305 Crescent Dr
Fort Smith, AR 72916-4037
Phone (479) 646-5778

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nwa Orthospine Rehab Services Inc Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1851646038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 CRESCENT DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729164037",
            "telephone_number": "479-646-5778",
            "fax_number": "479-770-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BLOOMINGTON ST",
            "address_2": "STE A",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727459493",
            "telephone_number": "479-770-5655",
            "fax_number": "479-770-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIMBO",
        "first_name": "MA HELENA",
        "middle_name": "GARCIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.