MEDICARE: ROPER THERAPY PROVIDERS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	222Q00000X	Developmental Therapist
2	2251P0200X	Pediatric Physical Therapist
3	235Z00000X	Speech-Language Pathologist
4	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1164116075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROPER THERAPY PROVIDERS LLC

Provider Business Mailing Address
First Line	:	2405 APPLE BLOSSOM LN
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-8460
Country	:	US
Telephone Number	:	501-208-3557
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 SHELBY TRL STE 1
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-7167
Country	:	US
Telephone Number	:	870-680-0629
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTANY DENISE ROPER
Credential	:	OTR/L
Telephone Number	:	870-680-0629

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

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Directions to “ROPER THERAPY PROVIDERS LLC ” Practice Location

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