Provider Demographics
NPI:1326003435
Name:HORNBECK, STEVE R (PT)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:R
Last Name:HORNBECK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 S OLIVE ST
Mailing Address - Street 2:SUITE 9D
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-5433
Mailing Address - Country:US
Mailing Address - Phone:870-541-0003
Mailing Address - Fax:870-541-0008
Practice Address - Street 1:2801 S OLIVE ST
Practice Address - Street 2:SUITE 9D
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-5433
Practice Address - Country:US
Practice Address - Phone:870-541-0003
Practice Address - Fax:870-541-0008
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT 2070225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARP00047652OtherMEDICARE RAILROAD
AR64-20055OtherUNITED HEALTHCARE
AR148259721Medicaid
AR5X114OtherBLUE CROSS
AR64-20055OtherUNITED HEALTHCARE