Individual provider Active NPI

Gwyn Anne Arnold, PT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1871100156
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11311 Issued in AL
Practice address
927 Franklin St SE
Huntsville, AL 35801-4306
Phone
(256) 428-3000
NPI assigned
Sep 30, 2020
Last updated
Aug 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4873 AR
Physical Therapist 225100000X PTH11311 AL Primary

Addresses

Primary practice location

927 Franklin St SE
Huntsville, AL 35801-4306

Mailing address

PO Box 1890
Benton, AR 72018-1890
Phone (501) 778-1885

Other practice location 1

640 Mlk Blvd
Malvern, AR 72104-2632
Phone (501) 467-8275

Other practice location 2

1308 Military Rd
Benton, AR 72015-2911
Phone (501) 778-4960

Other practice location 3

5309 Highway 5 N
Bryant, AR 72022-8901
Phone (501) 847-3320

Other practice location 4

1210 N Rock St
Sheridan, AR 72150-7761
Phone (870) 942-0760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000139 AL Practitioner - Physical Therapist in Private Practice 8426462441 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH11311ALMDPhysical Therapist
4873ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Center CurrentSince Jun 5, 2023 Accepting new patients
Pro Active Rehab, Inc Physical Therapist Current Accepting new patients
Pro Active Rehab, Inc Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Oct 8, 2023 Accepting new patients
Pro Active Rehab, Inc Physical Therapist CurrentSince Oct 30, 2023 Accepting new patients

Locations

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 1
Huntsville, AL 35801

927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000

927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326

1308 Military Rd
Benton, AR 72015
Phone (501) 776-1885

640 Martin Luther King Blvd
Malvern, AR 72104
Phone (501) 467-8275

1210 N Rock St
Sheridan, AR 72150
Phone (870) 942-0760

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1871100156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1890",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720181890",
            "telephone_number": "501-778-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 FRANKLIN ST SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014306",
            "telephone_number": "256-428-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Mlk Blvd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042632",
            "country_code": "US",
            "telephone_number": "501-467-8275",
            "fax_number": "501-467-8145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720152911",
            "country_code": "US",
            "telephone_number": "501-778-4960",
            "fax_number": "501-778-4968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5309 Highway 5 N",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720228901",
            "country_code": "US",
            "telephone_number": "501-847-3320",
            "fax_number": "501-847-3381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 N Rock St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "AR",
            "postal_code": "721507761",
            "country_code": "US",
            "telephone_number": "870-942-0760",
            "fax_number": "870-942-0763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "GWYN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4873",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.