Active NPI
Rhonda Small, PTA
- Physical Therapy Assistant
- Conway, AR
National Provider Identifier
1972978575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 3933
- Practice address
- 385 US 65
Suite 3
Conway, AR 72032-9524 - Phone
- (501) 967-9881
- NPI assigned
- Dec 8, 2015
- Last updated
- Nov 29, 2022
- 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 | 3933 | AR | Primary |
Addresses
Primary practice location
385 US 65
Suite 3
Conway, AR 72032-9524
Mailing address
385 US 65
Conway, AR 72032-9524
Phone (501) 967-9881
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 |
|---|---|---|---|
| 3933 | AR | MD | Physical Therapist |
Practice roles
Organizations & group practices 2
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": "1449532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1972978575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 US 65",
"city": "CONWAY",
"state": "AR",
"postal_code": "720329524",
"telephone_number": "501-967-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 US 65",
"address_2": "SUITE 3",
"city": "CONWAY",
"state": "AR",
"postal_code": "720329524",
"telephone_number": "501-967-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "RHONDA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-08",
"last_updated": "2022-11-29",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "3933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.