Active NPI
Donald Spears Wilcox, P.T.
- Physical Therapist
- Paragould, AR
National Provider Identifier
1962545657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2195
- Practice address
- 1105 W Court St
Suite 1
Paragould, AR 72450-4102 - Phone
- (870) 239-8099
- Fax
- (870) 239-5091
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT2195 | AR | Primary |
Addresses
Primary practice location
1105 W Court St
Suite 1
Paragould, AR 72450-4102
Mailing address
5975 Greene Road 707
Paragould, AR 72450-7825
Phone (870) 236-3287
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2195 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962545657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5975 GREENE ROAD 707",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724507825",
"telephone_number": "870-236-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 W COURT ST",
"address_2": "SUITE 1",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504102",
"telephone_number": "870-239-8099",
"fax_number": "870-239-5091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILCOX",
"first_name": "DONALD",
"middle_name": "SPEARS",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, 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.