HEALTHPRO HERITAGE REHAB & FITNESS, LLC (NPI# 1235780115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235780115 |
| Entity Type | Organization |
| Organization Name | HEALTHPRO HERITAGE REHAB & FITNESS, LLC |
| Practice Address |
715 W 6th St Mountain Home AR 72653-3421 |
| Mailing Address |
536 Old Howell Rd Greenville SC 29615-1969 |
| Practice Telephone | 8704256868 |
| Mailing Telephone | 8642443626 |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-09-23 |
| Authorized Official Name | MS. AMANDA L QUIGLEY (MANAGER) |
| Authorized Official Telephone | 8642443626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072462 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 2100 S Swope Dr, Independence, MO 64057-2808 | 2018-08-14 |
| 1942793534 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 4975 N 1st Ave, Tucson, AZ 85718-5614 | 2018-06-08 |
| 1730695065 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 20 Austin Ave Ofc 1, Greenville, RI 02828-1449 | 2017-12-22 |
| 1053833657 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 7770 Burr Street, Schererville, IN 46375-3400 | 2017-07-14 |
| 1376073262 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 960 S Charles G Seivers Blvd, Clinton, TN 37716-3882 | 2017-06-14 |
| 1558434357 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 275 Commonwealth Dr, Greenville, SC 29615-4814 | 2006-11-17 |
| 1619528593 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 100 Azalea Dr, Oxford, MS 38655-7372 | 2019-09-23 |
| 1033776331 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 11630 Glen Arm Rd, Glen Arm, MD 21057-9403 | 2019-05-22 |
| 1770054686 | Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | 4600 Bowling Blvd, Louisville, KY 40207-5155 | 2018-12-17 |
| 1376038646 | Healthpro Heritage Rehab & Fitness, LLC | Speech-Language Pathologist | 4950 Thunderbird Dr, Boulder, CO 80303-3835 | 2018-06-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Road, Greenville, SC 29615 |
| Washington State Corporations | HEALTHPRO HERITAGE REHAB & FITNESS, LLC | 536 Old Howell Rd, Greenville, SC 29615-1969 |
| Colorado Business Entities | HealthPRO Heritage Rehab & Fitness, LLC | 307 International Circle, Suite 100, Hunt Valley, MD 21030 |
| Street Address |
715 W 6TH ST |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295840502 | Paul A. Henry | Physical Therapist | 715 W 6th St, Ozark Physical Therapy Specialists, Mountain Home, AR 72653-3421 | 2006-08-20 |
| 1023647930 | Joyce Marie Yarborough | Physical Therapist | 715 W 6th St, Mountain Home, AR 72653-3421 | 2020-04-02 |
| 1720626575 | Jami West | Occupational Therapist | 715 W 6th St, Mountain Home, AR 72653-3421 | 2019-12-11 |
| 1821403023 | Brooke May Mccurley | Speech-Language Pathologist | 715 W 6th St, Mountain Home, AR 72653-3421 | 2014-06-25 |
| 1750711743 | Ozark Shoulder To Hand Center LLC | Occupational Therapist | 715 W 6th St, Ozark Shoulder To Hand Center, Mountain Home, AR 72653-3421 | 2013-11-12 |
| 1700215662 | Crystal D Henry | Occupational Therapist | 715 W 6th St, Mountain Home, AR 72653-3421 | 2013-11-01 |
| 1942638044 | Bcc Mountain Home Operations, LLC | Assisted Living Facility | 715 W 6th St, Mountain Home, AR 72653-3421 | 2013-10-29 |
| 1538597646 | Physical Therapy Specialists of The Ozarks, LLC | Clinic/Center | 715 W 6th St, Mountain Home, AR 72653-3421 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469604 | Garrett Branaman | Physical Therapist | 759 Highway 62 E Ste 331, Mountain Home, AR 72653-3263 | 2020-08-26 |
| 1780163303 | Chad R Simmons | Physical Therapist | 1005 W Airbase Rd, Mountain Home, ID 83647-3339 | 2018-08-14 |
| 1801382932 | Randy Edwin Tinsley Jr. | Physical Therapist | 275 Cypress Cir, Mountain Home, AR 72653-8705 | 2018-07-01 |
| 1013354109 | Dustin K Elliott | Physical Therapist | 1005 W 6th S, Mountain Home, ID 83647-3339 | 2013-05-29 |
| 1386928364 | Ronald J Glenn | Physical Therapist | 3890 County Road, Mountain Home, AR 72653 | 2011-10-07 |
| 1578844387 | Sarah Elizabeth Glenn | Physical Therapist | 3890 County Road 25, Mountain Home, AR 72653-7624 | 2011-09-07 |
| 1316261829 | Beau Whitt | Physical Therapist | Corner of Lamont Street and Veterans Way, Mountain Home, TN 37684 | 2010-03-26 |
| 1447431051 | Daren A Stafford | Physical Therapist | 280 E Jackson St, Mountain Home, ID 83647-2708 | 2007-11-26 |
| 1649397076 | Lance Gross | Physical Therapist | 347 Highway 62 E, Mountain Home, AR 72653-3655 | 2007-03-22 |
| 1710004148 | Kerri Gross | Physical Therapist | 372 Northpointe Dr, Mountain Home, AR 72653-8131 | 2007-03-22 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.