Melinda Adams
Individual provider Active NPI Physical Therapist · Russellville, AR
NPI 1891966347 · NPPES record last updated Mar 12, 2008
Key facts
- NPI
- 1891966347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT1907 (AR)
- Practice address
- 1301 Russell Road
Russellville, AR 72801 - Phone
- (479) 967-2322
- Fax
- (479) 967-2876
- NPI assigned
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200114000506 | AR | Practitioner - Physical Therapist in Private Practice | 1355776790 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1907 | AR | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1907 | AR | Yes |
Addresses
Primary practice location
1301 Russell Road
Russellville, AR 72801
Mailing address
PO Drawer 2109
Russellville, AR 72811
Other providers in Russellville, AR
- Abc Children'S Academy and Developmental Center Inc
- Abc Children'S Academy and Developmental Center Inc
- Rachel Elizabeth Abreu
- Humberto Acevedo
- Morgan Elena Ackett
- Shana Adams
- Sheila Adams
- Taylor Adams
- Addus Health Care Inc
- Lauren Marie Adkison
All providers in Russellville, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.