3D PHYSICAL THERAPY AND SPORTS MEDICINE, LLC


Address: 510 S Rogers St, Clarksville, AR 72830-3746
Phone: 4797464899

3D PHYSICAL THERAPY AND SPORTS MEDICINE, LLC (NPI# 1992216642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992216642
Entity Type Organization
Organization Name 3D PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Practice Address 510 S Rogers St
Clarksville
AR 72830-3746
Mailing Address 357 County Road 3681
Lamar
AR 72846-8895
Practice Telephone 4797464899
Mailing Telephone 4797464899
Enumeration Date 2017-10-21
Last Update Date 2017-10-21
Authorized Official Name CLINT BACCHUS (PHYSICAL THERAPIST)
Authorized Official Telephone 4797464899
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
PT4282 AR Ambulatory Health Care Facilities

Office Location

Street Address 510 S ROGERS ST
City CLARKSVILLE
State AR
Zip Code 72830-3746

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063786986 Kaci Leigh Green Pharmacist 510 S Rogers St, Clarksville, AR 72830-3746 2012-02-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649737545 Marilyn Elaine Laster Pharmacist 211 East Main St, Clarksville, AR 72830 2019-02-27
1083186431 Kayla Chinchilla Counselor 106 Cherokee Lane, Clarksville, AR 72830 2018-12-26
1669995619 Karla D Snow Case Manager/Care Coordinator 718 Brown Street, Clarksville, AR 72830 2017-07-21
1811426232 Netscript Telemedicine Solutions Family Medicine 235 Cr 3520, Clarksville, AR 72830 2017-06-08
1275882060 Shay Morgan Dietitian, Registered 1100 East Poplar Street, Clarksville, AR 72830 2012-09-07
1518111566 Melisa Leann Traylor Case Manager/Care Coordinator 522 Mill Road, Clarksville, AR 72830 2008-11-04
1669635280 Family Foot Clinic Podiatrist 203 Sevier St, Clarksville, AR 72830 2008-07-03
1891969721 Scott Lee Landis Counselor 522 Mills Rd., Clarksville, Ar, AR 72830 2008-04-22
1437364684 Snider Family Chiropractic Clinic Chiropractor 1012 Poplar St., Clarksville, AR 72830 2007-05-11
1376765917 Jones Speech Therapy Speech-Language Pathologist 1312 North Harmony Road, Clarksville, AR 72830 2007-05-03
Find all providers in zip 72830

Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1770058562 Vitality Sport and Rehab LLC Clinic/Center 1477 Tiny Town Rd # 323, Clarksville, TN 37042-7202 2018-10-08
1265979496 Taurus Rehabilitation and Wellness Clinic/Center 1477 Tiny Town Rd, Ste 337, Clarksville, TN 37042-7202 2017-01-26
1043675150 Physical Therapy Clinic of Paris, Lp Clinic/Center 2206 W Main St, Suite B, Clarksville, TX 75426-3366 2015-12-17
1336519701 Agilitas Usa, Inc Clinic/Center 1370 Veterans Pkwy Ste 1100, Clarksville, IN 47129-8700 2015-09-29
1457588352 Agilitas Usa, Inc Clinic/Center 2197 Madison St Ste 106, Clarksville, TN 37043-5253 2009-06-18
1437203387 Agilitas Usa, Inc. Clinic/Center 2250 Wilma Rudolph Blvd Ste H, Clarksville, TN 37040-8453 2007-01-22
1962417444 Agilitas Usa Inc Clinic/Center 131b Hatcher Ln, Clarksville, TN 37043-5987 2006-07-30
1316900806 Select Physical Therapy Holdings Inc Clinic/Center 331 Landrum Place, Clarksville, TN 37043 2006-04-07
1457791204 Occupational Health Centers of The Southwest Pa Clinic/Center 2485 Fort Campbell Blvd, Suite 104, Clarksville, TN 37042-7787 2013-06-26
1992933709 Advanced Physical Therapy & Rehab Services Inc Clinic/Center 781 Weatherly Dr, Suite F, Clarksville, TN 37043-8953 2009-06-30
Find all providers in CLARKSVILLE

Competitor

Search similar providers

City CLARKSVILLE
Zip Code 72830

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Dataset Information

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.

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