NPIMap

Organization Active NPI

Mount Carmel Physical Therapy Center, PLLC

  • Physical Therapist
  • Harrison, AR
National Provider Identifier
1912339771
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOUNT CARMEL PHYSICAL THERAPY CENTER, PLLC
Practice address
197 S. Walmart Drive
Harrison, AR 72601-1984
Phone
(870) 204-6070
Fax
(870) 204-6296
NPI assigned
Aug 5, 2013
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Mrs. Remedios Magtoto Adamos, OTR/LNPI 1194701185
Title
Occupational Therapy Staff
Phone
(870) 715-2705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Hand Occupational Therapist 225XH1200X NU

Addresses

Primary practice location

197 S. Walmart Drive
Harrison, AR 72601-1984

Mailing address

197 S. Walmart Drive
Harrison, AR 72601-1984
Phone (870) 204-6070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130916000106 AR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183868078 Receives reassigned benefits from 7 practitioners
Practice locations: Harrison, AR

National Provider Directory

National Provider Directory

Locations

197 S Walmart Dr
Harrison, AR 72601
Phone (870) 204-6070

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1912339771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 S. WALMART DRIVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011984",
            "telephone_number": "870-204-6070",
            "fax_number": "870-204-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 S. WALMART DRIVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011984",
            "telephone_number": "870-204-6070",
            "fax_number": "870-204-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL PHYSICAL THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "ADAMOS",
        "authorized_official_first_name": "REMEDIOS",
        "authorized_official_middle_name": "MAGTOTO",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY STAFF",
        "authorized_official_telephone_number": "870-715-2705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.