Provider Demographics
NPI:1457165979
Name:SPEAR ATHLETICS PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:SPEAR ATHLETICS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RUSHING
Authorized Official - Last Name:HEMPHILL
Authorized Official - Suffix:III
Authorized Official - Credentials:DPT
Authorized Official - Phone:512-633-9254
Mailing Address - Street 1:2923 W AZURITE ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-7213
Mailing Address - Country:US
Mailing Address - Phone:512-633-9254
Mailing Address - Fax:
Practice Address - Street 1:2923 W AZURITE ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-7213
Practice Address - Country:US
Practice Address - Phone:512-633-9254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty