Individual provider Active NPI

Brenda Sue Scantling, PT MS

  • Physical Therapist
  • Van Buren, AR
National Provider Identifier
1932200268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1775 Issued in AR
Practice address
4505 North Rudy Road
Van Buren, AR 72956-9062
Phone
(479) 474-4011
Fax
(479) 474-4044
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1775 AR Primary

Addresses

Primary practice location

4505 North Rudy Road
Van Buren, AR 72956-9062

Mailing address

PO Box 341
Bonneville, AR 72927-0341
Phone (479) 675-4918

Other identifiers 1

IdentifierTypeStateIssuer
5T191OtherBLUE CROSS BLUE SHIELD

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1775ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Ashworth PA Physical Therapist PastSince Nov 18, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932200268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "BONNEVILLE",
            "state": "AR",
            "postal_code": "729270341",
            "telephone_number": "479-675-4918",
            "fax_number": "479-474-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 NORTH RUDY ROAD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729569062",
            "telephone_number": "479-474-4011",
            "fax_number": "479-474-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANTLING",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PT MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5T191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.