Emily Renee Rasmussen-Stallcup, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2556 Issued in AR

Practice address

Russ Physical Therapy
1002 Westpark Dr. #6
Bentonville, AR 72712

Phone

(479) 250-4014

Fax

(479) 250-4015

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Emily Renee Rasmussen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1962760934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 SW MASON RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727137346",
            "telephone_number": "479-586-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RUSS PHYSICAL THERAPY",
            "address_2": "1002 WESTPARK DR. #6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-250-4014",
            "fax_number": "479-250-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN-STALLCUP",
        "first_name": "EMILY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RASMUSSEN",
            "middle_name": "RENEE",
            "credential": "LPTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gannon B Randolph, M.D.
• Terry Lynn Rankin
• Suman S. Rao, MD
• Anthony Raphael Jr., MHPP
• Rapid Results Diagnostics LLC
• Kristen Elizabeth Ravi
• Ray Beyond Behavioral Corp
• Shana D Ray, MHPP
• Shelly Reaves, LPC, LADAC, MAC, SAP
• Rebecca C. Bryan D.D.S.,P. a.

• Physical Therapy Assistant in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.