Grant Harper, PT
Individual provider Active NPI Physical Therapist · Shirley, AR
NPI 1972079267 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1972079267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4166 (AR)
- Practice address
- 2386 Overton Rd
Shirley, AR 72153-8447 - Phone
- (501) 592-1027
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Bernards Hospital Inc.
Practice addresses (Care Compare)
225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 972-4100
Hospital & facility affiliations
- St Bernards Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200629003107 | AR | Practitioner - Physical Therapist in Private Practice | 3072935592 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4166 | AR | MD | Physical Therapist |
| 091945 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter County Regional Hospital Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current |
Accepting new patients | |
| St Bernards Hospital Inc | Current |
Accepting new patients | |
| Baxter County Regional Hospital Inc | Current |
Accepting new patients | |
| St Bernards Hospital Inc. | Current |
Accepting new patients |
Locations
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
1019 E Main St
#B
Melbourne, AR 72556
Phone (870) 916-2040
624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 091945 | IA | |
| Physical Therapist | 225100000X | 4166 | AR | Yes |
Addresses
Primary practice location
2386 Overton Rd
Shirley, AR 72153-8447
Mailing address
2386 Overton Rd
Shirley, AR 72153-8447
Other providers in Shirley, AR
- Boston Mountain Rural Health Center, Inc
- Rebecca Burgess
- Mark A, Davis
- Angela Gail Dodd
- Sheila G Gardner
- Lakeside Dental LLC
- Ozark Health, Inc
- Chelsea Pencarinha
- B. F. Rhoads
- Shirley School District
All providers in Shirley, AR · Physical Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.