NPIMap

Organization Active NPI

Total Recovery Physical Modality

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
National Provider Identifier
1881604429
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TOTAL RECOVERY PHYSICAL MODALITY
Practice address
1100 N University
#240
Little Rock, AR 72207
Phone
(501) 614-9774
Fax
(501) 614-0789
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Hazel R Roberts
Title
Manager Supervisor
Phone
(214) 275-5620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1100 N University
#240
Little Rock, AR 72207

Mailing address

PO Box 271297
Dallas, TX 75227
Phone (214) 325-9508

National Provider Directory

National Provider Directory

Locations

3743 S Texas Ave
Bryan, TX 77802
Phone (979) 260-3800

4022 S Buckner Blvd
Ste C
Dallas, TX 75227
Phone (214) 319-7906

3007 Caroline St
Houston, TX 77004
Phone (713) 528-2328

Practitioners & affiliated clinicians

Practitioners 7

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1881604429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271297",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75227",
            "telephone_number": "214-325-9508",
            "fax_number": "214-325-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY",
            "address_2": "#240",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72207",
            "telephone_number": "501-614-9774",
            "fax_number": "501-614-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL RECOVERY PHYSICAL MODALITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER SUPERVISOR",
        "authorized_official_telephone_number": "214-275-5620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.