Individual provider Active NPI

Matthew Milholen, DPT

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1972888394
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3414 Issued in AR
Practice address
10301 N Rodney Parham Rd Ste B3
Little Rock, AR 72227-4838
Phone
(501) 615-8046
Fax
(501) 615-8307
NPI assigned
Oct 17, 2011
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1211289 TX
Physical Therapist 225100000X 3414 AR Primary

Addresses

Primary practice location

10301 N Rodney Parham Rd Ste B3
Little Rock, AR 72227-4838

Mailing address

10301 N Rodney Parham Rd Ste B3
Little Rock, AR 72227-4838
Phone (501) 615-8046

Other practice location 1

#2 St. Vincent Circle
Little Rock, AR 72205
Phone (501) 552-3000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191205000831 AR Practitioner - Physical Therapist in Private Practice 5597198580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3414ARMDPhysical Therapist
1211289TXMDPhysical Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1972888394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 N RODNEY PARHAM RD STE B3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722274838",
            "telephone_number": "501-615-8046",
            "fax_number": "501-615-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 N RODNEY PARHAM RD STE B3",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722274838",
            "telephone_number": "501-615-8046",
            "fax_number": "501-615-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "#2 St. Vincent Circle",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72205",
            "country_code": "US",
            "telephone_number": "501-552-3000",
            "fax_number": "817-332-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILHOLEN",
        "first_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1211289",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.