River Valley Pediatric Therapy

Primary specialty

Pediatric Rehabilitation Medicine PhysicianTaxonomy code 2081P0010X

Legal business name

RIVER VALLEY PEDIATRIC THERAPY

Practice address

2703 W Main St
Russellville, AR 72801-2456

Phone

(479) 890-5494

Fax

(479) 968-0069

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Sara J WhitlockNPI 1487698916

Title

Owner

Phone

(479) 890-5494

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara J Whitlock, PT

  • Pediatric Rehabilitation Medicine Physician
  • Russellville, AR
  • NPI 1487698916
  NPD (past) Authorized official
• Shandy Toland, PT

  • Pediatric Rehabilitation Medicine Physician
  • Russellville, AR
  • NPI 1487695839
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982644753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "479-968-4273",
            "fax_number": "479-968-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012456",
            "telephone_number": "479-890-5494",
            "fax_number": "479-968-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-890-5494"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BCBS",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• River Valley Foot & Ankle Clinic
• River Valley Medical Wellness, LLC
• River Valley Mobile Radiology, Inc.
• River Valley Obstetrics and Gynecology, P. a.
• River Valley Occupational Health
• River Valley Psychology PLLC
• River Valley Sleep Associates, Inc
• River Valley Surgery Center PLLC
• River Valley Therapy & Sports Medicine Inc
• River Valley Youth Foundation

• Pediatric Rehabilitation Medicine Physician in Russellville, AR
• Providers in Russellville, AR by specialty
• Pediatric Rehabilitation Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.