Provider Demographics
NPI:1760448773
Name:DOCTORS PHYSIACL THERAPY CENTERS, INC.
Entity Type:Organization
Organization Name:DOCTORS PHYSIACL THERAPY CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-558-9099
Mailing Address - Street 1:500 S UNIVERSITY AVE
Mailing Address - Street 2:SUITE A-23
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5302
Mailing Address - Country:US
Mailing Address - Phone:501-558-9099
Mailing Address - Fax:501-558-9091
Practice Address - Street 1:500 S UNIVERSITY AVE
Practice Address - Street 2:SUITE A-23
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5302
Practice Address - Country:US
Practice Address - Phone:501-558-9099
Practice Address - Fax:501-558-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F434Medicare ID - Type Unspecified