PHYSIQUES, INC. (NPI# 1417364704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417364704 |
| Entity Type | Organization |
| Organization Name | PHYSIQUES, INC. |
| Other Organization Name | SOUTH ARKANSAS CARDIAC REHAB |
| Practice Address |
1010 N Dudney Rd Ste E Magnolia AR 71753-2651 |
| Practice Telephone | 8702343488 |
| Practice Fax Number | 8702343488 |
| Mailing Telephone | 8702343488 |
| Mailing Fax Number | 8702343488 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | MS. LEANNE K FALLIN (OWNER, MANAGER) |
| Authorized Official Telephone | 8702343488 |
| Authorized Official Credential | BSE, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0404X |
Clinic/Center Specialization: Rehabilitation, Cardiac Facilities |
AR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Arkansas Cardiac Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861594673 | Physiques, Inc. | Physical Medicine & Rehabilitation | 1010 N Dudney Rd Ste D, Magnolia, AR 71753-2651 | 2006-09-02 |
| Street Address |
1010 N DUDNEY RD STE E |
| City | MAGNOLIA |
| State | AR |
| Zip Code | 71753-2651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417329509 | Ldc Cardiac Rehab LLC | Physical Medicine & Rehabilitation | 1010 N Dudney Rd Ste E, Magnolia, AR 71753-2651 | 2015-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939862 | Kylie Nokes | Occupational Therapy Assistant | 1403 High School Drive, Magnolia, AR 71753 | 2019-12-20 |
| 1225510266 | Douglas Palmer | Specialist/Technologist | 100 E University St, Magnolia, AR 71753 | 2018-09-06 |
| 1568940781 | Alyssa Scholl | Specialist/Technologist | Msc 8800, Magnolia, AR 71753 | 2018-07-31 |
| 1881141950 | Yuichi Takizawa | Specialist/Technologist | 2212 Lacari Dr., Fox Creek Apt #a1, Magnolia, AR 71753 | 2016-09-07 |
| 1609322981 | Stephen Baldwin Jr. | Specialist/Technologist | 100 E University Msc 9202, Magnolia, AR 71753 | 2016-08-28 |
| 1760830038 | Deborah Ellis | Developmental Therapist | 301 West Calhoun, Magnolia, ARKANSAS 71753 | 2016-05-27 |
| 1053720144 | Alaina Atkinson-murphy | Counselor | 1705 E North St, Magnolia, AR 71753 | 2014-08-04 |
| 1467701250 | Charles P Story | Physical Therapy Assistant | 191 E Columbia # 25, Magnolia, AR 71753 | 2012-09-07 |
| 1043565542 | Magnolia Surgery Center, LLC | Clinic/Center | 25 Columbia Road 47, Magnolia, AR 71753 | 2012-07-20 |
| 1427288232 | Emily Loftin | Physical Therapy Assistant | 310 West Calhoun Road, Magnolia, AR 71753 | 2009-07-15 |
| Find all providers in zip 71753 | ||||
| Taxonomy Code | 261QR0404X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Cardiac Facilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104467 | Better Life Heart Therapy Inc | Clinic/Center | 7 Medical Ln Ste C, Conway, AR 72034-4918 | 2020-01-30 |
| 1992188999 | El Dorado Wellness Center Pllc | Clinic/Center | 431 Thompson Ave, Suite B, El Dorado, AR 71730-4553 | 2015-07-08 |
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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.