Provider Demographics
NPI:1518936418
Name:F&S PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:F&S PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:
Authorized Official - Last Name:FENTER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:479-651-2776
Mailing Address - Street 1:4300 ROGERS AVE STE 20-443
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3154
Mailing Address - Country:US
Mailing Address - Phone:479-632-0321
Mailing Address - Fax:866-399-8359
Practice Address - Street 1:1414 HIGHWAY 71 N
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:AR
Practice Address - Zip Code:72921-4723
Practice Address - Country:US
Practice Address - Phone:479-632-0321
Practice Address - Fax:479-632-0323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR878225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C961OtherMEDICARE PTAN PART B BC/BS
AR046602Medicare Oscar/Certification
AR5C961OtherMEDICARE PTAN PART B BC/BS