Advanced Physical Therapy Llc | |
2100 W Hudson Rd Ste 3, Rogers, AR 72756-2181 | |
(479) 340-1100 | |
(844) 317-0394 |
Full Name | Advanced Physical Therapy Llc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 2100 W Hudson Rd Ste 3, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427401702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Ricky Matthew Melton |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275933996 PECOS PAC ID: 4981927985 Enrollment ID: I20141224000532 |
Provider Name | Zachary H Ball |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558556175 PECOS PAC ID: 9436246261 Enrollment ID: I20160927002594 |
Provider Name | Keller Davis Sims |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669009049 PECOS PAC ID: 9133542582 Enrollment ID: I20200702000442 |
Provider Name | Corey Kendall Graham |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124657705 PECOS PAC ID: 8123447836 Enrollment ID: I20200930000550 |
Provider Name | Brandon T Meek |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174172043 PECOS PAC ID: 8022443407 Enrollment ID: I20201002001468 |
Provider Name | Alex Taylor Davis |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487280590 PECOS PAC ID: 6103245626 Enrollment ID: I20201002001597 |
Provider Name | Jacob Kettner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225683808 PECOS PAC ID: 3779960273 Enrollment ID: I20220523002707 |
Provider Name | William Weston Hurst |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861114662 PECOS PAC ID: 8426424805 Enrollment ID: I20221026003021 |
Provider Name | Sarah Grace Brown |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568184364 PECOS PAC ID: 4688040066 Enrollment ID: I20221026003163 |
Provider Name | Danielle A Quesnell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1811679202 PECOS PAC ID: 7618330861 Enrollment ID: I20230906000346 |
Mailing Address | Practice Location Address |
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Advanced Physical Therapy Llc 1148 W Riverdale Dr, Nixa, MO 65714-8255 Ph: (417) 300-9965 | Advanced Physical Therapy Llc 2100 W Hudson Rd Ste 3, Rogers, AR 72756-2181 Ph: (479) 340-1100 |