Active NPI
Daniel Cothern
- Specialist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 2286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163436721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2286 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gross Therapy Services, Inc. | Physical Therapy | Current | Accepting new patients |
| Therapy Zone Incorporated | Physical Therapy | Current | Accepting new patients |
| Pristine Health LLC | Physical Therapy | Current | Accepting new patients |
| Bohannan Irgens Group LLC | Physical Therapy | Past | 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.
-
- Physical Therapy Clinic/Center
- Springdale, AR
- NPI 1992996003
-
- Physical Therapy Clinic/Center
- Greenwood, AR
- NPI 1417313925
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.