Active NPI
Juli Ann Schluckebier, P.T.
- Physical Therapist
- Benton, AR
National Provider Identifier
1881761666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 1113
- Practice address
- 17706 I-30 Ste 3
Benton, AR 72019-2930 - Phone
- (501) 315-4414
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- 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 Therapist | 225100000X | PT002599 | KY | |
| Physical Therapist | 225100000X | PT 1113 | AR | Primary |
Addresses
Primary practice location
17706 I-30 Ste 3
Benton, AR 72019-2930
Mailing address
5912 Wall St
Benton, AR 72019-6598
Phone (501) 847-2304
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 |
|---|---|---|---|
| PT 1113 | AR | MD | Physical Therapist |
| PT002599 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201305600000",
"number": "1881761666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 WALL ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720196598",
"telephone_number": "501-847-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17706 I-30 STE 3",
"city": "BENTON",
"state": "AR",
"postal_code": "720192930",
"telephone_number": "501-315-4414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLUCKEBIER",
"first_name": "JULI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2008-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT002599",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 1113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.