MRS. TERRI LAKE BERKSHIRE (NPI# 1326093279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326093279 |
| Entity Type | Individual |
| Full Name | MRS. TERRI LAKE BERKSHIRE |
| Credential | MS PT |
| Practice Address |
1500 Museum Road Suite 104 Conway Therapy Services Conway AR 72032 |
| Practice Telephone | 5013293804 |
| Practice Fax Number | 8013290718 |
| Mailing Telephone | 5013293804 |
| Mailing Fax Number | 8013290718 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2472 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 2305203594 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 142131721 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1065 Clayton St Ste 106, Conway, AR 720324329 | 5013285878 |
| Street Address |
1500 MUSEUM ROAD SUITE 104 CONWAY THERAPY SERVICES |
| City | CONWAY |
| State | AR |
| Zip Code | 72032 |
| 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 | 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 |
|---|---|---|---|---|
| 1033771357 | Daniel John Staples | Physical Therapist | 2676 Church St Unit D2, Conway, SC 29526-4471 | 2019-07-08 |
| 1619417722 | Physical Therapy Specialists of Coway | Physical Therapist | 2425 Prince St Ste 3, Conway, AR 72034-3701 | 2017-03-08 |
| 1659823219 | Christopher Kelly Rigsby | Physical Therapist | 823 Parkway St, Conway, AR 72034-5342 | 2016-10-31 |
| 1184170235 | Michael Houston | Physical Therapist | 1335 Arapaho Trl, Conway, AR 72034-2001 | 2016-08-29 |
| 1235682238 | Jake Tyler Wallis | Physical Therapist | 1630 Arden Ln, Conway, AR 72034-3543 | 2016-07-27 |
| 1275908246 | Physical Rehabilitation Group | Physical Therapist | 1604b Main St, Conway, SC 29526-3572 | 2015-12-02 |
| 1568860781 | Lindsey Baskerville | Physical Therapist | 306 Country Club Rd, Conway, AR 72034-7210 | 2014-12-22 |
| 1184027617 | Prs 5, LLC | Physical Therapist | 2676 Church St, Unit D-2, Conway, SC 29526-4471 | 2014-09-29 |
| 1508285289 | Laetitia Bourgeon | Physical Therapist | 3315 Pebble Beach Rd, Apt 5, Conway, AR 72034-8550 | 2014-04-10 |
| 1033474556 | Kerri J Brinkley | Physical Therapist | 2220 Morning Glory Ln, Conway, AR 72034-8442 | 2012-07-10 |
| 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.