| Pro Active Rehab, Inc | |
|
1308 Military Rd, Benton, AR 72015-2911 | |
| (501) 778-4960 | |
| (501) 778-4968 |
| Full Name | Pro Active Rehab, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1308 Military Rd, Benton, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215021159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 842 (Arkansas) | Primary |
| Provider Name | Daniel B Myers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477546562 PECOS PAC ID: 3274556402 Enrollment ID: I20060125000776 |
| Provider Name | James R Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629082805 PECOS PAC ID: 1658372206 Enrollment ID: I20070124000551 |
| Provider Name | Michael Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558687640 PECOS PAC ID: 4284894569 Enrollment ID: I20120323000063 |
| Provider Name | Nicholas G Dobbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649644287 PECOS PAC ID: 5890089262 Enrollment ID: I20160808001304 |
| Provider Name | Krista J Koder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396269056 PECOS PAC ID: 9537425673 Enrollment ID: I20171107000571 |
| Provider Name | Mackenzie C Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952829285 PECOS PAC ID: 8224395462 Enrollment ID: I20171127001525 |
| Provider Name | Sarah Mechelle Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730607284 PECOS PAC ID: 0143596429 Enrollment ID: I20180215000420 |
| Provider Name | Gwyn Foster Arnold |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871100156 PECOS PAC ID: 8426462441 Enrollment ID: I20210202001324 |
| Provider Name | Kayla Browning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417551045 PECOS PAC ID: 1254745284 Enrollment ID: I20210202001780 |
| Provider Name | Lauren Cook |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790380350 PECOS PAC ID: 0042625006 Enrollment ID: I20210225000719 |
| Provider Name | Andrew Davis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073288510 PECOS PAC ID: 7517365901 Enrollment ID: I20211015001343 |
| Provider Name | Tiffany Weston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104522069 PECOS PAC ID: 1557734209 Enrollment ID: I20230301000275 |
| Provider Name | Ashton Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235915869 PECOS PAC ID: 6103274196 Enrollment ID: I20231201000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Active Rehab, Inc Po Box 1890, Benton, AR 72018-1890 Ph: (501) 778-4960 | Pro Active Rehab, Inc 1308 Military Rd, Benton, AR 72015-2911 Ph: (501) 778-4960 |
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 | |
Mr. Richard Dale Stevens, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Active Way, Benton, AR 72019 Phone: 501-315-0984 | |
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 |