Healthcare Provider Details

I. General information

NPI: 1235159831
Provider Name (Legal Business Name): THERAPY ZONE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1214 HWY 49 NORTH
BRINKLEY AR
72012-2122
US

IV. Provider business mailing address

19 BRENTWOOD CV
CABOT AR
72023-7301
US

V. Phone/Fax

Practice location:
  • Phone: 501-804-2304
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: GEORGIA JOHNSTON
Title or Position: VICE PRESIDENT
Credential:
Phone: 501-804-2304