CARSONPT4.0 (NPI# 1932615663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932615663 |
| Entity Type | Organization |
| Organization Name | CARSONPT4.0 |
| Practice Address |
200 Nw 4th St Bryant AR 72022-3424 |
| Mailing Address |
1509 Winslow Dr Little Rock AR 72207-6119 |
| Practice Telephone | 5019520074 |
| Practice Fax Number | 5018470508 |
| Mailing Telephone | 5019520074 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-12-02 |
| Authorized Official Name | DR. ADAM PARKER CARSON (SOLE OWNER) |
| Authorized Official Telephone | 5011847050 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
200 NW 4TH ST |
| City | BRYANT |
| State | AR |
| Zip Code | 72022-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841250198 | Jeffrey Douglas Coppock | Occupational Therapy Assistant | 200 Nw 4th St, Bryant, AR 72022-3424 | 2006-03-23 |
| 1841802162 | Kristen Danielle Roberson | Occupational Therapy Assistant | 200 Nw 4th St, Bryant, AR 72022-3424 | 2020-08-18 |
| 1942859392 | Laura Beth Dixon | Speech-Language Pathologist | 200 Nw 4th St, Bryant, AR 72022-3424 | 2019-09-09 |
| 1134774433 | Jessica Chennault | Occupational Therapy Assistant | 200 Nw 4th St, Bryant, AR 72022-3424 | 2019-08-05 |
| 1871148379 | Shelly R Statton | Occupational Therapy Assistant | 200 Nw 4th St, Bryant, AR 72022-3424 | 2019-08-02 |
| 1740760396 | Bridgette Leanne Work | Speech-Language Pathologist | 200 Nw 4th St, Bryant, AR 72022-3424 | 2018-08-14 |
| 1093293193 | Arthur Lynn Cook | Marriage & Family Therapist | 200 Nw 4th St, Bryant, AR 72022-3424 | 2018-07-31 |
| 1639671811 | Chelsea Pawluk Post | Speech-Language Pathologist | 200 Nw 4th St, Bryant, AR 72022-3424 | 2018-03-05 |
| 1184132417 | Fallon Peacock | Counselor | 200 Nw 4th St, Bryant, AR 72022-3424 | 2018-01-22 |
| 1811415235 | Lindsey Garner | Speech-Language Pathologist | 200 Nw 4th St, Bryant, AR 72022-3424 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339719 | Brookfield Physical Rehabilitation, LLC | Clinic/Center | 205 Sawtooth Oak St, Hot Springs, AR 71901-7169 | 2019-11-04 |
| 1710541289 | Baxter County Regional Hospital Inc | Clinic/Center | 414 W Old Main St Ste B, Yellville, AR 72687-8284 | 2019-04-30 |
| 1417428152 | Exodus Physical Therapy | Clinic/Center | 1728 Westwood Cv, Jonesboro, AR 72401-4793 | 2018-12-06 |
| 1275018954 | Fort Smith Physical Therapy Center | Clinic/Center | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2018-09-28 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1710490818 | Marianna Clo Hendrycy | Clinic/Center | 1830 N Crossover Rd, Fayetteville, AR 72701-2725 | 2017-11-10 |
| 1386168581 | Pinnacle Physical Therapy | Clinic/Center | 28 Silver Meadow Cv, North Little Rock, AR 72118-5285 | 2017-07-28 |
| 1447614540 | Heather Williams | Clinic/Center | 791 Highway 24 E, De Queen, AR 71832-8425 | 2016-04-05 |
| 1225403843 | Bohannan Physical Therapy LLC | Clinic/Center | 3712 Brighton Pl, Greenwood, AR 72936-6850 | 2015-12-08 |
| Find all providers with the same taxonomy | ||||
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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.