SHANDY TOLAND (NPI# 1487695839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487695839 |
| Entity Type | Individual |
| Full Name | SHANDY TOLAND |
| Credential | PT |
| Practice Address |
2703 W Main St Russellville AR 72801-2456 |
| Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
| Practice Telephone | 4798905494 |
| Practice Fax Number | 4799680069 |
| Mailing Telephone | 4799684273 |
| Mailing Fax Number | 4799681363 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
PT2344 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
2703 W MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644753 | River Valley Pediatric Therapy | Physical Medicine & Rehabilitation | 2703 W Main St, Russellville, AR 72801-2456 | 2006-06-08 |
| 1487698916 | Sara J Whitlock | Physical Medicine & Rehabilitation | 2703 W Main St, Russellville, AR 72801-2456 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 2081P0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pediatric Rehabilitation Medicine |
| A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate for PRM was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Early discussions underway |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316974793 | Jodi Lynne Kusturin | Physical Medicine & Rehabilitation | 500 E 3rd St, Russellville, AR 72801-5204 | 2006-06-28 |
| 1982644753 | River Valley Pediatric Therapy | Physical Medicine & Rehabilitation | 2703 W Main St, Russellville, AR 72801-2456 | 2006-06-08 |
| 1487698916 | Sara J Whitlock | Physical Medicine & Rehabilitation | 2703 W Main St, Russellville, AR 72801-2456 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386765352 | Laura Jean Hobart-porter | Physical Medicine & Rehabilitation | 1 Childrens Way, 653, Little Rock, AR 72202-3500 | 2007-04-03 |
| 1114017613 | Esther Tompkins | Physical Medicine & Rehabilitation | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2006-10-13 |
| 1841395423 | Vikki Ann Stefans | Physical Medicine & Rehabilitation | 1 Children's Way, Arkansas Children's Hospital, Little Rock, AR 72202-3500 | 2006-09-14 |
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.