Organization Active NPI

Carson Physical Therapy, Inc

  • Physical Therapist
  • Bryant, AR
National Provider Identifier
1962564039
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1747 Issued in AR
Legal business name
CARSON PHYSICAL THERAPY, INC
Practice address
3231 Main St
Suite 3
Bryant, AR 72022-9188
Phone
(501) 847-0500
Fax
(501) 847-0508
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Adam Parker Carson, DPTNPI 1487891651
Title
Director
Phone
(501) 847-0500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 1747 AR Primary

Addresses

Primary practice location

3231 Main St
Suite 3
Bryant, AR 72022-9188

Mailing address

3231 Main St
Suite 3
Bryant, AR 72022-9188
Phone (501) 847-0500

Other identifiers 1

IdentifierTypeStateIssuer
175266742MedicaidAR

National Provider Directory

National Provider Directory

Locations

1221 Highway 35 N
Ste B
Benton, AR 72019
Phone (501) 778-2326

3231 Main St
Ste 3
Bryant, AR 72022
Phone (501) 847-0500

2900 Horizon Dr
Ste 9
Bryant, AR 72022
Phone (501) 847-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1962564039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 MAIN ST",
            "address_2": "SUITE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229188",
            "telephone_number": "501-847-0500",
            "fax_number": "501-847-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 MAIN ST",
            "address_2": "SUITE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720229188",
            "telephone_number": "501-847-0500",
            "fax_number": "501-847-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-847-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175266742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.