Active NPI
Cara Correll, PT
- Physical Therapist
- Bentonville, AR
National Provider Identifier
1871723973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3160
- Practice address
- 1501 SE Walton Blvd Ste 109
Bentonville, AR 72712-3745 - Phone
- (479) 273-2345
- Fax
- (479) 273-9391
- NPI assigned
- Jul 23, 2009
- Sex
- Female
- 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 | PT3160 | AR | Primary |
Addresses
Primary practice location
1501 SE Walton Blvd Ste 109
Bentonville, AR 72712-3745
Mailing address
PO Box 585
Pea Ridge, AR 72751-0585
Phone (479) 451-1479
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3160 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Arkansas Pediatric Therapy Services, Inc | Past | 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.
-
- Pediatric Physical Therapist
- Pea Ridge, AR
- NPI 1447472865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1871723973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 585",
"city": "PEA RIDGE",
"state": "AR",
"postal_code": "727510585",
"telephone_number": "479-451-1479",
"fax_number": "479-451-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SE WALTON BLVD STE 109",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123745",
"telephone_number": "479-273-2345",
"fax_number": "479-273-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRELL",
"first_name": "CARA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.