Provider Demographics
NPI:1528374543
Name:NEXT STEP THERAPY SERVICES
Entity Type:Organization
Organization Name:NEXT STEP THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPTA
Authorized Official - Phone:870-816-5126
Mailing Address - Street 1:3690 HIGHWAY 49
Mailing Address - Street 2:
Mailing Address - City:LEXA
Mailing Address - State:AR
Mailing Address - Zip Code:72355-8264
Mailing Address - Country:US
Mailing Address - Phone:870-816-5126
Mailing Address - Fax:870-572-5132
Practice Address - Street 1:3690 HIGHWAY 49
Practice Address - Street 2:
Practice Address - City:LEXA
Practice Address - State:AR
Practice Address - Zip Code:72355-8264
Practice Address - Country:US
Practice Address - Phone:870-816-5126
Practice Address - Fax:870-572-5132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR182730742Medicaid