Mr Stanley Jenkins Harris, PT, DPT | |
4801 Fairway Ave, N Little Rock, AR 72116-8009 | |
(501) 758-1300 | |
(501) 758-1316 |
Full Name | Mr Stanley Jenkins Harris |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 39 Years |
Location | 4801 Fairway Ave, N Little Rock, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194782458 | NPI | - | NPPES |
129283721 | Medicaid | AR | |
5S488 | Other | AR | BLUE CROSS BLUE SHIELD |
5G468 | Other | AR | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 775 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Harris And Renshaw Rehab Center, Inc. | 1557496205 | 15 |
Provider Name | Arkansas Pain Centers, Ltd |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1811984099 PECOS PAC ID: 7012987845 Enrollment ID: O20040729000319 |
Provider Name | Harris & Renshaw Rehab Center, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336478031 PECOS PAC ID: 1557496205 Enrollment ID: O20100319000097 |
Mailing Address | Practice Location Address |
---|---|
Mr Stanley Jenkins Harris, PT, DPT 4801 Fairway Ave, N Little Rock, AR 72116-8009 Ph: (501) 758-1300 | Mr Stanley Jenkins Harris, PT, DPT 4801 Fairway Ave, N Little Rock, AR 72116-8009 Ph: (501) 758-1300 |
Idumange T. Idumange, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 W Pershing Blvd Ste D, N Little Rock, AR 72114 Phone: 501-812-4970 Fax: 501-812-4972 | |
Mr. Paul Cavnor, MS.PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-4433 Fax: 501-771-2005 | |
Mrs. Rebel Flynn Wilson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-2005 Fax: 501-771-2005 | |
Mr. Brad Smith, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5912 Cypress Creek Dr, N Little Rock, AR 72116 Phone: 501-771-2005 Fax: 501-771-2005 | |
Ms. Mala Jean Waller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, N Little Rock, AR 72114 Phone: 501-257-1046 | |
Custom Care Therapy Corp. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4600 Edgemere St, N Little Rock, AR 72116 Phone: 501-812-6451 Fax: 501-812-6451 |