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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT4282 | AR | Ambulatory Health Care Facilities |
Street Address |
510 S ROGERS ST |
City | CLARKSVILLE |
State | AR |
Zip Code | 72830-3746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063786986 | Kaci Leigh Green | Pharmacist | 510 S Rogers St, Clarksville, AR 72830-3746 | 2012-02-24 |
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 Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
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 |
City | CLARKSVILLE |
Zip Code | 72830 |
Please comment or provide details below to improve the information on 3D PHYSICAL THERAPY AND SPORTS MEDICINE, LLC.
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.