Henry Deguzman Adamos, LPT
Individual provider Active NPI Physical Therapist · Harrison, AR
NPI 1922083534 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1922083534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT2643 (AR)
- Practice address
- 197 S. Walmart Drive
Harrison, AR 72601-1984 - Phone
- (870) 416-5586
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Carmel Physical Therapy Center, PLLC
Practice addresses (Care Compare)
197 S Walmart Dr
Harrison, AR 72601-1987
Phone (870) 240-6070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050818000926 | AR | Practitioner - Physical Therapist in Private Practice | 2668402637 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Physical Therapy Center, PLLC | Physical Therapist | Current |
Accepting new patients |
| Ortho Spine Care, LLC | Physical Therapist | Past | Accepting new patients |
| Med CHI Professionals, LLC | Past | Accepting new patients | |
| Spine and Sports Rehabilitation | Physical Therapist | Past | Accepting new patients |
| Orthospine Rehabilitation | Past | Accepting new patients | |
| Spine and Sports Therapy LLC | Physical Therapist | Past |
Accepting new patients |
| Professional for Agility Care LLC | Physical Therapist | Past | Accepting new patients |
Locations
197 S Walmart Dr
Harrison, AR 72601
Phone (870) 204-6070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2643 | AR | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X355 | Other | AR | BLUE CROSS BLUE SHIELD |
| 149808721 | Medicaid | AR |
Other providers in Harrison, AR
- 6574Bravo LLC
- Ali F Abdelaal
- Abilities Pediatric PLLC
- Remedios Magtoto Adamos
- Christopher Luke Adams
- Addus Health Care Inc
- Bobby Wayne Adkison
- Advanced Orthopaedic Specialists, PLC
All providers in Harrison, 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 Oct 27, 2020. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.