THERAPEUTIC ALLIANCE (NPI# 1003219510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003219510 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC ALLIANCE |
| Other Organization Name | THERAPEUTIC & EDUCATIONAL SOLUTIONS |
| Practice Address |
610 N Missouri St Ste 1 West Memphis AR 72301-3148 |
| Practice Telephone | 8704000179 |
| Practice Fax Number | 8704000479 |
| Mailing Telephone | 8704000179 |
| Mailing Fax Number | 8704000479 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | LATEASHA GAITHER (CO-OWNER) |
| Authorized Official Telephone | 8705148180 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Therapeutic & Educational Solutions | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THERAPEUTIC ALLIANCE GROUP | 1999 N Amidon Ave Ste 335, Wichita, KS 67203-2152 |
| Virginia Business Entities | Therapeutic Alliance Home Health Services Inc. | 211 North Union Street, Ste 100, Alexandria, Virginia 22314 |
| New York State Corporations | THERAPEUTIC ALLIANCE LLC | 2578 Miles Avenue, Bronx, New York 10465 |
| Virginia Business Entities | Therapeutic Alliance LLC | 3225 Mcleod Drive Ste 100, Las Vegas, Nevada 89121 |
| Virginia Business Entities | Therapeutic Alliance of Albemarle | 675 Peter Jefferson Pkwy, Ste 130, Charlottesville, Virginia 22911-8618 |
| Virginia Business Entities | Therapeutic Alliance of Albemarle LLC | 675 Peter Jefferson Pkwy, Suite 130, Charlottesville, Virginia 22911 |
| Connecticut Business Registrations | Therapeutic Alliance of Connecticut, LLC | 174 South Road, Ste 125, Enfield, CT 06082 |
| New York State Corporations | THERAPEUTIC ALLIANCE SUITES LLC | 201 East 36th Street, #15d, New York, Ny 10016 |
| Colorado Business Entities | Therapeutic Alliance, LLC | 415 S Reed St, Lakewood, CO 80226 |
| Massachusetts Corporations | THERAPEUTIC ALLIANCE, LLC | 520 Commonwealth Ave., Boston, MA 02215-0000 |
| Street Address |
610 N MISSOURI ST STE 1 |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225457690 | Rebecca Stiles | Occupational Therapy Assistant | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2014-04-14 |
| 1518426154 | Kirby Lynn Burns | Occupational Therapy Assistant | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2019-03-13 |
| 1780148320 | Tiffany Nicole Laws | Occupational Therapy Assistant | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2019-01-28 |
| 1225510811 | Angel Chapple | Physical Therapy Assistant | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2018-08-30 |
| 1366922510 | Shani Henley Doyle | Occupational Therapist | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2018-08-17 |
| 1073973756 | Alannah Conrey | Occupational Therapy Assistant | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2016-02-24 |
| 1053785543 | Bryce Newsome | Physical Therapist | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2015-11-20 |
| 1619378247 | Debra Phipps | Physical Therapist | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2014-09-15 |
| 1093126104 | Ashley Sloan | Physical Therapy Assistant | 610 N Missouri St Ste 1, West Memphis, AR 72301-3148 | 2014-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861007841 | Branden Shane Blume | Physical Therapist | 5300 S Southern Hills Ct # 200, Rogers, AR 72758-3500 | 2020-09-15 |
| 1154848133 | Zach Brown | Physical Therapist | 4540 Jfk Blvd, North Little Rock, AR 72116-7309 | 2017-08-29 |
| 1275933772 | Haley Mourot | Physical Therapist | 100 Walmart Dr Ste 5, Morrilton, AR 72110-4525 | 2014-09-03 |
| 1093153173 | Christian Charles Robertozzi | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2013-06-11 |
| 1023320132 | Rachael Lee Cummins Owens | Physical Therapist | 1065 Clayton St Ste 9, Conway, AR 72032-4335 | 2010-07-06 |
| 1275605727 | Brian Paul Doorley | Physical Therapist | 16140 N Arrowhead Fountain Center Drive, Suite 105, Peoria, AR 85382 | 2006-11-13 |
| 1467554964 | Bryan Nathaniel Grubbs | Physical Therapist | 1200 Old Warren Road, Monticello, AR 71655-3954 | 2006-09-04 |
| 1740243559 | Anna Christine Turner-massanelli | Physical Therapist | 2113 Watts Road, Jordan Physical Therapy, Benton, AR 71901 | 2006-04-11 |
| 1124017058 | Rowdy Kelly | Physical Therapist | 200 N College St, Mountain Home, AR 72653-3654 | 2005-10-13 |
| 1750865044 | Ruth Ross | Physical Therapist | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2018-09-21 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on THERAPEUTIC ALLIANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.