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NPI Code Detail

MEDICARE: ANN CAVENAR DPT

MEDICARE: ANN CAVENAR DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT4113AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01765085OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
216070037501OTHERQUALCHOICE
35BK75OTHERBCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144680224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN CAVENAR DPT
Provider Business Mailing Address
First Line : 800 FAIR PARK BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-1720
Country : US
Telephone Number : 501-404-8007
Fax Number : 501-904-3620
Provider Business Practice Location Address
First Line : 800 FAIR PARK BLVD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72204-1720
Country : US
Telephone Number : 501-404-8007
Fax Number : 501-904-3620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 03/12/2026

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Directions to “ ANN CAVENAR DPT” Practice Location

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