Active NPI
Chad Lairamore, PT
- Physical Therapist
- Conway, AR
National Provider Identifier
1861198707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2458
- Practice address
- 2200 Bruce Street Suite 101
Conway, AR 72035-0001 - Phone
- (501) 470-7457
- NPI assigned
- Feb 2, 2023
- Sex
- Male
- 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 | 2458 | AR | Primary |
Addresses
Primary practice location
2200 Bruce Street Suite 101
Conway, AR 72035-0001
Mailing address
2200 Bruce Street Suite 101
Conway, AR 72035-0001
Phone (501) 470-7457
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2458 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Central Arkansas | Physical Therapist | Current | 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.
-
- Physical Therapist
- Conway, AR
- NPI 1790439602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1861198707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BRUCE STREET SUITE 101",
"city": "CONWAY",
"state": "AR",
"postal_code": "720350001",
"telephone_number": "501-470-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BRUCE STREET SUITE 101",
"city": "CONWAY",
"state": "AR",
"postal_code": "720350001",
"telephone_number": "501-470-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAIRAMORE",
"first_name": "CHAD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-02",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.