MELINDA GRIMES (NPI# 1750419529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750419529 |
| Entity Type | Individual |
| Full Name | MELINDA GRIMES |
| Credential | MSPT |
| Practice Address |
1700 South Blvd Conway AR 72034-6455 |
| Mailing Address |
48 Middle Rd Conway AR 72032-9017 |
| Practice Telephone | 5013298102 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT1471 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1700 SOUTH BLVD |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366522039 | Faulkner County Day School, Inc. | Day Training, Developmentally Disabled Services | 1700 South Blvd, Conway, AR 72034-6455 | 2006-10-17 |
| 1649408345 | Meredith Ford | Speech-Language Pathologist | 1700 South Blvd, Conway, AR 72034-6455 | 2009-07-01 |
| 1821253691 | Megan L Packard | Speech-Language Pathologist | 1700 South Blvd, Conway, AR 72034-6455 | 2008-07-22 |
| 1194999391 | Stephanie Tibbs | Occupational Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2008-04-17 |
| 1851423693 | Shannon Weber | Speech-Language Pathologist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-09 |
| 1649301649 | Shannon M Greenway | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-08 |
| 1942330378 | Rachel Brook Thompson | Occupational Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-06 |
| 1427187624 | Christy Lee Ruby | Speech-Language Pathologist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-05 |
| 1306975578 | Catherine L Shourd | Occupational Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-05 |
| 1700915055 | Amy Melissa Harder | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
| 1245388446 | Dee Ann Smith | Physical Therapist | 2915 Dave Ward Dr, Suite 8, Conway, AR 72034-9310 | 2007-01-06 |
| 1942358130 | Amanda Denton | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-06 |
| 1336578012 | Deborah Ann Truett | Physical Therapist | 335 Four Mile Rd, Conway, SC 29526-4506 | 2013-11-04 |
| 1073845657 | Christi Bjornberg | Physical Therapist | 306 Salem Rd, Conway, AR 72034-6159 | 2010-02-05 |
| 1689908824 | Kimberly Lancaster | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2009-09-21 |
| 1356537773 | Amanda M. Overbey | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1295921625 | Melissa A. Orosz | Physical Therapist | 2740 College Ave, Conway, AR 72034-6141 | 2007-09-19 |
| 1649301649 | Shannon M Greenway | Physical Therapist | 1700 South Blvd, Conway, AR 72034-6455 | 2007-03-08 |
| 1891847810 | Hannah Bridges | Physical Therapist | 2740 College Avenue, Conway, AR 72034-9310 | 2007-01-18 |
| 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.