Provider Demographics
NPI:1528397833
Name:STEADMAN'S PHYSICAL THERAPY
Entity Type:Organization
Organization Name:STEADMAN'S PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STEADMAN
Authorized Official - Suffix:III
Authorized Official - Credentials:MS,PT
Authorized Official - Phone:501-520-0504
Mailing Address - Street 1:216 GARRISON ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7319
Mailing Address - Country:US
Mailing Address - Phone:501-520-0504
Mailing Address - Fax:501-520-0245
Practice Address - Street 1:216 GARRISON ST STE B
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7319
Practice Address - Country:US
Practice Address - Phone:501-520-0504
Practice Address - Fax:501-520-0245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2362225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5G452Medicare PIN