Dana Marie Bibby, PTA
Individual provider Active NPI Physical Therapy Assistant · El Dorado, AR
NPI 1891129169 · NPPES record last updated Aug 22, 2013
Key facts
- NPI
- 1891129169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA 2592 (AR)
- Practice address
- 214 Hope Landing Rd
El Dorado, AR 71730-8725 - Phone
- (870) 862-0500
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 2592 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Landing, Inc. | Physical Therapy Assistant | Past | Accepting new patients |
| Hope Landing, Inc. | Physical Therapy Assistant | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 2592 | AR | Yes |
Addresses
Primary practice location
214 Hope Landing Rd
El Dorado, AR 71730-8725
Mailing address
100 N Maple St
Junction City, AR 71749-9590
Phone (870) 314-1171
Other providers in El Dorado, AR
- Elizabeth Gaylin Bates
- Raymond Martin Baumgardner Jr.
- Rebekah Nicole Beck
- Joyce Jones Bennett
- Gary Lloyd Bevill
- Karen Birchfield
- Amber Lynn Bishop
- Suzanne D Bledsoe
- BLM Co. Inc.
- John Gregory Booker
All providers in El Dorado, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.