Provider Demographics
NPI:1992827042
Name:NEWPORT ADVANCED PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:NEWPORT ADVANCED PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:870-523-6500
Mailing Address - Street 1:801 MALCOLM AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:AR
Mailing Address - Zip Code:72112-3691
Mailing Address - Country:US
Mailing Address - Phone:870-523-6500
Mailing Address - Fax:870-523-6508
Practice Address - Street 1:801 MALCOLM AVENUE
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:AR
Practice Address - Zip Code:72112-7211
Practice Address - Country:US
Practice Address - Phone:870-523-6500
Practice Address - Fax:870-523-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy