MEDICARE: ARKANSAS PAIN CENTER PHYSICAL THERAPY

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
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457526790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKANSAS PAIN CENTER PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 308
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72033-0308
Country	:	US
Telephone Number	:	501-771-4370
Fax Number	:	501-327-9722

Provider Business Practice Location Address
First Line	:	2504 MCCAIN BLVD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7607
Country	:	US
Telephone Number	:	501-771-2799
Fax Number	:

Authorized Official
Title or Position	:	INSURANCE BILLER
Name	:	DONNA MURPHY
Credential	:
Telephone Number	:	501-771-4370

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	03/19/2020

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Directions to “ARKANSAS PAIN CENTER PHYSICAL THERAPY ” Practice Location

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