Active NPI
Amber Nicole Elumbaugh
- Physical Therapy Assistant
- Mountain Home, AR
National Provider Identifier
1972720308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA1796
- Practice address
- 372 Northpointe Dr
Mountain Home, AR 72653-8131 - Phone
- (870) 425-1555
- NPI assigned
- Apr 19, 2007
- Last updated
- Aug 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA1796 | AR | MD | Physical 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.