Healthcare Provider Details

I. General information

NPI: 1598858375
Provider Name (Legal Business Name): CONWAY PHYSICAL THERAPY CLINIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MUSEUM RD SUITE 104
CONWAY AR
72032-4710
US

IV. Provider business mailing address

1500 MUSEUM RD SUITE 104
CONWAY AR
72032-4710
US

V. Phone/Fax

Practice location:
  • Phone: 501-329-3804
  • Fax: 501-329-0718
Mailing address:
  • Phone: 501-329-3804
  • Fax: 501-329-0718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD GREG WREN
Title or Position: OWNER
Credential: PT
Phone: 501-329-3804