Provider Demographics
NPI:1801840616
Name:FIVE RIVERS THERAPY SERVICES LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:FIVE RIVERS THERAPY SERVICES LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:2655 THOMASVILLE RD
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:AR
Mailing Address - Zip Code:72455-1202
Mailing Address - Country:US
Mailing Address - Phone:870-248-0800
Mailing Address - Fax:870-248-0802
Practice Address - Street 1:2655 THOMASVILLE RD
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:AR
Practice Address - Zip Code:72455-1202
Practice Address - Country:US
Practice Address - Phone:870-248-0800
Practice Address - Fax:870-248-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F539Medicare ID - Type UnspecifiedMEDICARE PART B