Mr Richard Dale Stevens, PT | |
2010 Active Way, Benton, AR 72019-0000 | |
(501) 315-0984 | |
Not Available |
Full Name | Mr Richard Dale Stevens |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2010 Active Way, Benton, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073596086 | NPI | - | NPPES |
126920721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 288 (Arkansas) | Primary |
Provider Name | Saline Orthopedic Group P A |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093825002 PECOS PAC ID: 7911819479 Enrollment ID: O20031103000555 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Dale Stevens, PT 2010 Active Way, Benton, AR 72019-0000 Ph: (501) 315-0984 | Mr Richard Dale Stevens, PT 2010 Active Way, Benton, AR 72019-0000 Ph: (501) 315-0984 |
Derick Ray Hampel, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Mcneil St, Benton, AR 72015 Phone: 501-315-0984 | |
Erin Elizabeth Andrews, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5701 Springhill Road, Benton, AR 72015 Phone: 501-653-2255 Fax: 501-653-2257 | |
William Anthony Taylor, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1214 Salem Road, Suite A, Benton, AR 72019 Phone: 501-915-4354 | |
Ms. Kathyrn Elaine Sandusky, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17706 I-30, Ste 3, Benton, AR 72015 Phone: 501-315-4414 Fax: 501-315-3467 | |
Marla Jo Murphy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2113 Watts Rd, Benton, AR 72015 Phone: 501-778-4960 Fax: 501-778-4968 | |
Mrs. Carrie Anne Johnson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1102 W South St, Suite 10, Benton, AR 72015 Phone: 559-202-9637 |