| Rogue Therapy Professionals Pllc | |
|
14030 Hummingbird Rd, Fayetteville, AR 72701-0358 | |
| (501) 733-6113 | |
| Not Available |
| Full Name | Rogue Therapy Professionals Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 14030 Hummingbird Rd, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720607443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Colin Spencer White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477508422 PECOS PAC ID: 5799676094 Enrollment ID: I20040324000984 |
| Provider Name | Charles Reinhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215556840 PECOS PAC ID: 9830515915 Enrollment ID: I20200819003692 |
| Provider Name | Lauren Faye Brenaman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124367826 PECOS PAC ID: 3375950801 Enrollment ID: I20210330002441 |
| Provider Name | Michael David Booker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326614355 PECOS PAC ID: 8729489232 Enrollment ID: I20210622000837 |
| Provider Name | Justin G Porta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124332267 PECOS PAC ID: 1456756634 Enrollment ID: I20210826000832 |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Therapy Professionals Pllc 14030 Hummingbird Rd, Fayetteville, AR 72701-0358 Ph: (501) 733-6113 | Rogue Therapy Professionals Pllc 14030 Hummingbird Rd, Fayetteville, AR 72701-0358 Ph: (501) 733-6113 |
Karen Hairston, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Fernando Castillo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3383 N Mana Ct Ste 201, Fayetteville, AR 72703 Phone: 479-571-6780 | |
Kymbrly Hannah, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2474 E Joyce Blvd, Suite 2, Fayetteville, AR 72703 Phone: 479-521-8326 Fax: 479-521-5439 | |
Ms. Heather Kristine Vaughn, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-713-8630 Fax: 479-713-8639 | |
Megan Landry Wilson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1923 E Joyce Blvd, Fayetteville, AR 72703 Phone: 479-442-7220 | |
Travis Alexander, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 Phone: 479-435-6712 Fax: 844-317-0394 | |
Winston Tyler Futrell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 Phone: 479-595-0711 |