BOHANNAN IRGENS GROUP LLC (NPI# 1417313925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417313925 |
| Entity Type | Organization |
| Organization Name | BOHANNAN IRGENS GROUP LLC |
| Practice Address |
515 Forrest Park Way Greenwood AR 72936-5955 |
| Practice Telephone | 4795978318 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2020-04-14 |
| Authorized Official Name | DR. DAVID BOHANNAN (OWNER) |
| Authorized Official Telephone | 4795978318 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT2764 | AR | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11735 Old Highway 71 Ste 101, Fort Smith, AR 729167023 | 4794344033 |
| Street Address |
515 FORREST PARK WAY |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275515959 | Greenwood Physical Therapy Center, Inc. | Clinic/Center | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2005-11-17 |
| 1255958872 | Kody Morris | Occupational Therapist | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2020-06-30 |
| 1720104870 | Patrick Brian Mcclain | Physical Therapist | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2007-03-21 |
| 1306942198 | David Steven Bohannan | Physical Therapist | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225403843 | Bohannan Physical Therapy LLC | Clinic/Center | 3712 Brighton Pl, Greenwood, AR 72936-6850 | 2015-12-08 |
| 1154692481 | Mcl Therapy LLC | Clinic/Center | 250 Old Hackett Rd, Greenwood, AR 72936-4704 | 2012-01-18 |
| 1922384080 | Kids Abilities Indiana, Inc. | Clinic/Center | 1788 Windward Dr, Greenwood, IN 46143-8408 | 2011-11-02 |
| 1497978001 | Physiotherapy Associates, Inc. | Clinic/Center | 3177 Meridian Park Dr, Greenwood, IN 46142 | 2007-04-11 |
| 1275515959 | Greenwood Physical Therapy Center, Inc. | Clinic/Center | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2005-11-17 |
| 1104343573 | Ufit Inc | Clinic/Center | 2801 Fairview Pl Ste A, Greenwood, IN 46142-1339 | 2017-08-27 |
| 1184166266 | Hayden Physical Therapy | Clinic/Center | 586 S State Road 135, Suite E, Greenwood, IN 46142-1439 | 2016-11-07 |
| 1518363647 | Anderson Physical Therapy Clinic Inc | Clinic/Center | 212 Overland Dr, Greenwood, SC 29646-4069 | 2014-11-18 |
| 1225353154 | Piedmont Physical Therapy, Inc. | Clinic/Center | 234 Birchtree Dr, Greenwood, SC 29649-1502 | 2010-04-03 |
| 1235292509 | Greenwood Sports and Industrial Rehab | Clinic/Center | 1602 Spring St, Greenwood, SC 29646-4072 | 2006-12-18 |
| Find all providers in GREENWOOD | ||||
Please comment or provide details below to improve the information on BOHANNAN IRGENS GROUP LLC.
| 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.