Provider Demographics
NPI:1184846701
Name:APTC OF LITTLE ROCK, INC.
Entity Type:Organization
Organization Name:APTC OF LITTLE ROCK, INC.
Other - Org Name:ADVANCED PHYSICAL THERAPY OF LITTLE ROCK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-224-5454
Mailing Address - Street 1:10014 NORTH RODNEY PARHAM
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227
Mailing Address - Country:US
Mailing Address - Phone:501-224-5454
Mailing Address - Fax:501-224-5460
Practice Address - Street 1:10014 NORTH RODNEY PARHAM
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227
Practice Address - Country:US
Practice Address - Phone:501-224-5454
Practice Address - Fax:501-224-5460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT1755261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00855756OtherRAILROAD MEDICARE
AR5T563OtherMEDICARE NUMBER
DN8325OtherMEDICARE RR
ARP00855769OtherRAILROAD MEDICARE
AR148049742Medicaid
ARP00855769OtherRAILROAD MEDICARE
AR5V491Medicare PIN
AR5T638Medicare PIN