Individual provider Active NPI

Daniel Cothern

  • Specialist
  • Fayetteville, AR
National Provider Identifier
1871694471
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 2286 Issued in AR
Practice address
1998 W Grand Blvd
Fayetteville, AR 72704-5077
Phone
(866) 251-1227
Fax
(866) 251-1267
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2286 AR
Specialist 174400000X PT 2286 AR Primary

Addresses

Primary practice location

1998 W Grand Blvd
Fayetteville, AR 72704-5077

Mailing address

PO Box 13525
Maumelle, AR 72113-0525
Phone (866) 251-1227

Other practice location 1

1401 LaBelle Dr
Little Rock, AR 72204-2315
Phone (866) 251-1227 ext. 1

Other practice location 2

4727 Boone Rd
Benton, AR 72022-6224
Phone (866) 251-1227 ext. 1

Other practice location 3

2200 SE J St
Bentonville, AR 72712-4185
Phone (870) 916-5500

Other identifiers 1

IdentifierTypeStateIssuer
163436721MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181031000183 AR Practitioner - Physical Therapist in Private Practice 2264593573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

2200 SE J St
Suite 20And22
Bentonville, AR 72712-4185
Phone (870) 701-5089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 2286ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapy CurrentSince Sep 1, 2025 Accepting new patients
Therapy Zone Incorporated Physical Therapy CurrentSince Feb 1, 2023 Accepting new patients
Pristine Health LLC Physical Therapy CurrentSince Feb 2, 2007 Accepting new patients
Bohannan Irgens Group LLC Physical Therapy PastSince Feb 2, 2014 Accepting new patients

Locations

2902 Mid Cities Dr
Bentonville, AR 72712
Phone (870) 916-5500

Organizations & group practices 4

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1871694471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13525",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721130525",
            "telephone_number": "866-251-1227",
            "fax_number": "866-251-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 W GRAND BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045077",
            "telephone_number": "866-251-1227",
            "fax_number": "866-251-1267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 LaBelle Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722042315",
            "country_code": "US",
            "telephone_number": "866-251-1227 x1",
            "fax_number": "866-251-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4727 Boone Rd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720226224",
            "country_code": "US",
            "telephone_number": "866-251-1227 x1",
            "fax_number": "866-251-1267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 SE J St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124185",
            "country_code": "US",
            "telephone_number": "870-916-5500",
            "fax_number": "870-701-5089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTHERN",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "2286",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "PT 2286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163436721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.