3D Physical Therapy and Sports Medicine, LLC
Organization Active NPI Physical Therapy Clinic/Center · Clarksville, AR
NPI 1992216642 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1992216642
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT4282 (AR)
- Legal business name
- 3D PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
- Practice address
- 1310 E Main St
Clarksville, AR 72830-9554 - Phone
- (479) 647-5000
- Fax
- (479) 647-5001
- NPI assigned
- Oct 21, 2017
- Organization subpart
- No
Authorized official
- Name
- Clint Bacchus, PT, DPT, OCS
- Title
- Physical Therapist
- Phone
- (479) 647-5000
Practitioners 4
-
Clint Allen Bacchus, PT, DPT, OCS
-
Kirklyn Kremers, PT, DPT
-
Jordyn Pridgin, PT, DPT
-
Chelsi D Varnell, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180109002804 | AR | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2163781626 |
Receives reassigned benefits from 4 practitioners Practice locations: Clarksville, AR |
National Provider Directory
Locations
510 S Rogers St
Ste 2
Clarksville, AR 72830
Phone (479) 647-5000
1310 E Main St
Clarksville, AR 72830
Phone (479) 647-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT4282 | AR | Yes |
Addresses
Primary practice location
1310 E Main St
Clarksville, AR 72830-9554
Mailing address
357 County Road 3681
Lamar, AR 72846-8895
Phone (479) 647-5000
Other providers in Clarksville, AR
- Abc Children'S Academy - Clarksville Site 3
- Abc Children'S Academy & Developmental Center-Clarksville
- Absolute Medical USA, Inc.
- Access Medical Clinic Arkansas LLC
- Ginny Aday
All providers in Clarksville, AR · Physical Therapy Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.