Individual provider Active NPI

Laura Lynn Ivy

  • Physical Therapist
  • Heber Springs, AR
National Provider Identifier
1962659433
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3072 Issued in AR
Practice address
201 S 7TH St
Heber Springs, AR 72543-3718
Phone
(501) 362-2525
Fax
(501) 362-2751
NPI assigned
Aug 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 3072 AR Primary

Addresses

Primary practice location

201 S 7TH St
Heber Springs, AR 72543-3718

Mailing address

201 S 7TH St
Heber Springs, AR 72543-3718
Phone (501) 362-8118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090225000702 AR Practitioner - Physical Therapist in Private Practice 4183780232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivy Physical Therapy, IncGroup PAC ID 6204002686, 2 clinicians

Practice addresses (Care Compare)

201 S 7TH St
Heber Springs, AR 72543-3718
Phone (501) 362-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3072ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Physical Therapy, Inc Physical Therapist CurrentSince Oct 1, 2011 Accepting new patients
Physical Therapy Services of Cleburne County, Inc Physical Therapist Past Accepting new patients

Locations

201 S 7th St
Heber Springs, AR 72543
Phone (501) 206-7623

Organizations & group practices 2

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1962659433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 7TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433718",
            "telephone_number": "501-362-8118",
            "fax_number": "501-362-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 7TH ST",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433718",
            "telephone_number": "501-362-2525",
            "fax_number": "501-362-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.