Provider Demographics
NPI:1881788875
Name:A. YUMANG REHAB SERVICES, PA
Entity type:Organization
Organization Name:A. YUMANG REHAB SERVICES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RAY
Authorized Official - Middle Name:A
Authorized Official - Last Name:YUMANG
Authorized Official - Suffix:
Authorized Official - Credentials:PT, LMT
Authorized Official - Phone:479-751-3900
Mailing Address - Street 1:PO BOX 871
Mailing Address - Street 2:
Mailing Address - City:TONTITOWN
Mailing Address - State:AR
Mailing Address - Zip Code:72770-0871
Mailing Address - Country:US
Mailing Address - Phone:479-751-3900
Mailing Address - Fax:479-751-3011
Practice Address - Street 1:3061 N MARKET AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-3515
Practice Address - Country:US
Practice Address - Phone:479-444-6277
Practice Address - Fax:479-444-6278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2023-09-06
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
AR149655742Medicaid
AR5C504OtherAR. BLUE CROSS
AR228586001OtherCIGNA