REHABILITATION NETWORK OUTPATIENT SERVICES LLC (NPI# 1205346111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205346111 |
| Entity Type | Organization |
| Organization Name | REHABILITATION NETWORK OUTPATIENT SERVICES LLC |
| Other Organization Name | REHABILITATION NETWORK OUTPATIENT SERVICES LLC |
| Practice Address |
93 Roden Mill Rd Conway AR 72032-9555 |
| Mailing Address |
Po Box 202 Conway AR 72033-0202 |
| Practice Telephone | 4798582760 |
| Practice Fax Number | 4798582760 |
| Mailing Telephone | 5015486003 |
| Mailing Fax Number | 8442091709 |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MRS. BECKY ANNE CRENSHAW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5015486003 |
| Authorized Official Credential | MRC, CRC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 221336742 | 05 |
| Other Name | Type Code |
|---|---|
| Rehabilitation Network Outpatient Services LLC | Former Legal Business Name - Organization |
| Street Address |
93 RODEN MILL RD |
| City | CONWAY |
| State | AR |
| Zip Code | 72032-9555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789843 | Amelia S Lasater | Pharmacist | 1155 Hwy 65n, Conway, AR 72032 | 2020-10-28 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1780222174 | Eric Herman Boxnick | Pharmacist | 101 West Oak Street, Conway, AR 72032 | 2019-12-16 |
| 1932746070 | Habilitation Center, LLC | Psychiatric Residential Treatment Facility | 161 Skunk Hollow Road, Conway, AR 72032 | 2019-12-09 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1275035602 | Conway Dental Center Pllc | Dentist | 1600 E. Oak Street Suite B, Conway, AR 72032 | 2018-03-01 |
| 1750821625 | Luke Osborne | Physical Therapy Assistant | 1 Thomas Ln, Conway, AR 72032 | 2017-02-27 |
| 1639620099 | Sam's West, Inc. | Technician/Technologist | 1250 South Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1922559343 | Sam's West, Inc. | Durable Medical Equipment & Medical Supplies | 1250 Sourth Amity Rd, Conway, AR 72032 | 2016-10-20 |
| 1639629108 | Posture Store | Durable Medical Equipment & Medical Supplies | 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 | 2016-10-09 |
| Find all providers in zip 72032 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245388446 | Dee Ann Smith | Physical Therapist | 2915 Dave Ward Dr, Suite 8, Conway, AR 72034-9310 | 2007-01-06 |
| 1942358130 | Amanda Denton | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-06 |
| 1336578012 | Deborah Ann Truett | Physical Therapist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-11-04 |
| 1073845657 | Christi Bjornberg | Physical Therapist | 306 Salem Rd, Conway, AR 72034-6159 | 2010-02-05 |
| 1689908824 | Kimberly Lancaster | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2009-09-21 |
| 1356537773 | Amanda M. Overbey | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1295921625 | Melissa A. Orosz | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1649301649 | Shannon M Greenway | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-08 |
| 1750419529 | Melinda Grimes | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-01 |
| 1891847810 | Hannah Bridges | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-18 |
| Find all providers in CONWAY | ||||
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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.