SALINE COUNTY PHYSICAL THERAPY (NPI# 1164437646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164437646 |
| Entity Type | Organization |
| Organization Name | SALINE COUNTY PHYSICAL THERAPY |
| Practice Address |
1115 Ferguson Dr Benton AR 72015-3512 |
| Practice Telephone | 5013150639 |
| Practice Fax Number | 5013157278 |
| Mailing Telephone | 5013150639 |
| Mailing Fax Number | 5013157278 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-06-05 |
| Authorized Official Name | MR. RANDALL GREEN (OWNER) |
| Authorized Official Telephone | 5013150639 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 117948742 | 05 |
| Street Address |
1115 FERGUSON DR |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352056 | Randall Green | Physical Therapist | 1115 Ferguson Dr, Benton, AR 72015-3512 | 2005-08-03 |
| 1568750743 | Robin Jane Dyer | Physical Therapist | 1115 Ferguson Dr, Benton, AR 72015-3512 | 2011-07-21 |
| 1730419151 | Garrett O'neal Stanley | Physical Therapist | 1115 Ferguson Dr, Benton, AR 72015-3512 | 2010-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891257713 | Barrett Therapy and Wellness Pllc | Clinic/Center | 750 Main St, Benton, KY 42025-1239 | 2019-04-01 |
| 1972013969 | Benton Physical Therapy, LLC | Clinic/Center | 185 Burt Blvd Ste B, Benton, LA 71006-4904 | 2017-10-04 |
| 1760910939 | Dawson Physical Therapy, Pllc | Clinic/Center | 1512 Main St, Benton, KY 42025-1607 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339719 | Brookfield Physical Rehabilitation, LLC | Clinic/Center | 205 Sawtooth Oak St, Hot Springs, AR 71901-7169 | 2019-11-04 |
| 1710541289 | Baxter County Regional Hospital Inc | Clinic/Center | 414 W Old Main St Ste B, Yellville, AR 72687-8284 | 2019-04-30 |
| 1417428152 | Exodus Physical Therapy | Clinic/Center | 1728 Westwood Cv, Jonesboro, AR 72401-4793 | 2018-12-06 |
| 1275018954 | Fort Smith Physical Therapy Center | Clinic/Center | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2018-09-28 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1710490818 | Marianna Clo Hendrycy | Clinic/Center | 1830 N Crossover Rd, Fayetteville, AR 72701-2725 | 2017-11-10 |
| 1386168581 | Pinnacle Physical Therapy | Clinic/Center | 28 Silver Meadow Cv, North Little Rock, AR 72118-5285 | 2017-07-28 |
| 1447614540 | Heather Williams | Clinic/Center | 791 Highway 24 E, De Queen, AR 71832-8425 | 2016-04-05 |
| 1225403843 | Bohannan Physical Therapy LLC | Clinic/Center | 3712 Brighton Pl, Greenwood, AR 72936-6850 | 2015-12-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.