Organization Active NPI

Specialized Physical Medicine and Rehabilitian Clinics PC

Doing business as SPR Clinics

  • Pain Clinic/Center
  • Harrison, AR
National Provider Identifier
1942473079
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
E-3715 Issued in AR
Legal business name
SPECIALIZED PHYSICAL MEDICINE AND REHABILITIAN CLINICS PC
Doing business as
SPR Clinics
Practice address
501 N Main St
Suit C
Harrison, AR 72601-3535
Phone
(417) 343-1307
NPI assigned
Apr 9, 2008
Last updated
Sep 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. Aly Mohamed Mohsen, MDNPI 1770596215
Title
President
Phone
(417) 886-0310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X E-3715 AR Primary

Addresses

Primary practice location

501 N Main St
Suit C
Harrison, AR 72601-3535

Mailing address

520 W Rivendale Dr
Springfield, MO 65810-3122
Phone (417) 886-0310

Other names 1

  • SPR Clinics Doing business as

National Provider Directory

National Provider Directory

Locations

501 N Main St
Ste C
Harrison, AR 72601
Phone (417) 343-1307

Practitioners & affiliated clinicians

Practitioners 1

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1942473079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W RIVENDALE DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658103122",
            "telephone_number": "417-886-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N MAIN ST",
            "address_2": "SUIT C",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013535",
            "telephone_number": "417-343-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED PHYSICAL MEDICINE AND REHABILITIAN CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "MOHSEN",
        "authorized_official_first_name": "ALY",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-886-0310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "AR",
            "license": "E-3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPR Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 13, 2012; 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.