PRO-ACTIVE REHAB INC. (NPI# 1285878991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285878991 |
| Entity Type | Organization |
| Organization Name | PRO-ACTIVE REHAB INC. |
| Other Organization Name | MALVERN PHYSICAL THERAPY & WELLNESS |
| Practice Address |
720 Walco Rd Suite 240 Malvern AR 72104 |
| Mailing Address |
P.o. Box 1890 Benton AR 72018 |
| Practice Telephone | 5014678275 |
| Practice Fax Number | 5014678145 |
| Mailing Telephone | 5017784960 |
| Mailing Fax Number | 5017784968 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | JAMES R LEE (OWNER) |
| Authorized Official Telephone | 5017784960 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | Y |
| Parent Organization Name | PRO-ACTIVE REHAB INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT1316 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Malvern Physical Therapy & Wellness | Doing Business As Name - Organization |
| Street Address |
720 WALCO RD SUITE 240 |
| City | MALVERN |
| State | AR |
| Zip Code | 72104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| 1972727287 | The Crossing At Malvern | Assisted Living Facility | 720 North Walco Road, Malvern, AR 72104 | 2007-04-11 |
| Find all providers in zip 72104 | ||||
| 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 |
|---|---|---|---|---|
| 1922591536 | Potential Physical Therapy LLC | Physical Therapist | 134 Lancaster Ave, Malvern, PA 19355-2123 | 2018-06-08 |
| 1518487933 | Shanna Naider | Physical Therapist | 233 E King St Ste 103, Malvern, PA 19355-2574 | 2017-06-27 |
| 1942758065 | Elizabeth Ann Thayne | Physical Therapist | 30 Liberty Blvd Ste 140, Malvern, PA 19355-1418 | 2016-09-18 |
| 1801341334 | Meredith Jones | Physical Therapist | 233 E King St, Suite 103, Malvern, PA 19355-2565 | 2016-08-25 |
| 1497154389 | Jenna Mckiddy | Physical Therapist | 1601 Mlk Blvd, Malvern, AR 72104-2016 | 2014-08-18 |
| 1194061309 | Source Therapy Solutions Pllc | Physical Therapist | 1721 Martin Luther King Blvd, Suite I, Malvern, AR 72104-2085 | 2012-12-14 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1326349457 | Dana Mcallister Matkovic | Physical Therapist | 9 Limekiln Dr, Malvern, PA 19355-1618 | 2010-11-05 |
| 1497071237 | Kyoko Yamada | Physical Therapist | 7 Wildwood Dr, Malvern, PA 19355 | 2010-04-19 |
| 1578742862 | Frances Anne Venters Lopez | Physical Therapist | 16 Grubb Rd, Malvern, PA 19355-3064 | 2007-11-02 |
| Find all providers in MALVERN | ||||
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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.