Individual provider Active NPI

Amber Nicole Elumbaugh

  • Physical Therapy Assistant
  • Mountain Home, AR
National Provider Identifier
1972720308
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1796 Issued in AR
Practice address
372 Northpointe Dr
Mountain Home, AR 72653-8131
Phone
(870) 425-1555
NPI assigned
Apr 19, 2007
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1796 AR Primary

Addresses

Primary practice location

372 Northpointe Dr
Mountain Home, AR 72653-8131

Mailing address

189 Horseshoe TRL
Gepp, AR 72538-9402
Phone (870) 404-4294

Other practice location 1

9818 Highway 62 W
Viola, AR 72583-7009
Phone (870) 701-5089

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

LicenseStateTypeSpecialty
PTA1796ARMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1972720308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 HORSESHOE TRL",
            "city": "GEPP",
            "state": "AR",
            "postal_code": "725389402",
            "telephone_number": "870-404-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 NORTHPOINTE DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538131",
            "telephone_number": "870-425-1555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9818 Highway 62 W",
            "address_purpose": "LOCATION",
            "city": "Viola",
            "state": "AR",
            "postal_code": "725837009",
            "country_code": "US",
            "telephone_number": "870-701-5089",
            "fax_number": "870-277-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELUMBAUGH",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.