Provider Demographics
NPI:1881236693
Name:UPWARD PT LLC
Entity type:Organization
Organization Name:UPWARD PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:K
Authorized Official - Last Name:TUGWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-220-7744
Mailing Address - Street 1:125A E KENWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SILOAM SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72761-4200
Mailing Address - Country:US
Mailing Address - Phone:479-373-1607
Mailing Address - Fax:479-340-0075
Practice Address - Street 1:125A E KENWOOD ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-4200
Practice Address - Country:US
Practice Address - Phone:479-373-1607
Practice Address - Fax:479-340-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty