Organization Active NPI

Upward PT LLC

  • Physical Therapist
  • Siloam Springs, AR
National Provider Identifier
1881236693
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UPWARD PT LLC
Practice address
125A E Kenwood St
Siloam Springs, AR 72761-4200
Phone
(479) 373-1607
Fax
(479) 340-0075
NPI assigned
Oct 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Lori K Tugwell
Title
Office Manager
Phone
(479) 220-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

125A E Kenwood St
Siloam Springs, AR 72761-4200

Mailing address

125A E Kenwood St
Siloam Springs, AR 72761-4200
Phone (479) 373-1607

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200617003020 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012339179 Receives reassigned benefits from 1 practitioner
Practice locations: Siloam Springs, AR

National Provider Directory

National Provider Directory

Locations

125 E Kenwood St
Siloam Springs, AR 72761

125 E Kenwood St
#A
Siloam Springs, AR 72761
Phone (479) 373-1607

1607 Southpointe
Siloam Springs, AR 72761
Phone (479) 373-1607

125A E Kenwood St
Siloam Springs, AR 72761
Phone (479) 373-1607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1881236693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125A E KENWOOD ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614200",
            "telephone_number": "479-373-1607",
            "fax_number": "479-340-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125A E KENWOOD ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614200",
            "telephone_number": "479-373-1607",
            "fax_number": "479-340-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "TUGWELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-220-7744"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.