Patrick Ameling, PT, DPT

Individual provider Active NPI Physical Therapist · Rogers, AR

NPI 1861049157 · NPPES record last updated Aug 21, 2019

Key facts

NPI
1861049157
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
4698 (AR)
Practice address
1000 W Poplar St
Rogers, AR 72756-4242
Phone
(870) 926-9118
NPI assigned
Aug 21, 2019
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4698ARMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4698 AR Yes

Addresses

Primary practice location

1000 W Poplar St
Rogers, AR 72756-4242

Mailing address

3008 W Marble Dr
Fayetteville, AR 72704-6543
Phone (870) 926-9118

Other providers in Rogers, AR

All providers in Rogers, AR · Physical Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.