NORTHSIDE THERAPY CENTER INC (NPI# 1023054145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023054145 |
| Entity Type | Organization |
| Organization Name | NORTHSIDE THERAPY CENTER INC |
| Practice Address |
4216 E Mccain Blvd North Little Rock AR 72117 |
| Practice Telephone | 5016870328 |
| Practice Fax Number | 5016870330 |
| Mailing Telephone | 5016870328 |
| Mailing Fax Number | 5016870330 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. STANLEY JENKINS HARRIS (PHYSICAL THERAPIST OWNER) |
| Authorized Official Telephone | 5016870328 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
0000001458 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | PALMETTO GBA DME | 4439380001 | 01 |
| AR | BLUE CROSS BLUE SHIELD | 5C512 | 01 |
| AR | ACN PROVIDER NUMBER | 682617 | 01 |
| AR | AETNA | 7891261 | 01 |
| AR | PALMETTO RAILROAD MCARE | CJ8952 | 01 |
| Street Address |
4216 E MCCAIN BLVD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346468063 | Betty Elaine Harris | Physical Therapist | 4216 E Mccain Blvd, North Little Rock, AR 72117-2515 | 2007-04-20 |
| 1134280548 | Sara Monique Brownlee | Physical Therapist | 4216 E Mccain Blvd, North Little Rock, AR 72117-2515 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225062 | Lisa Diane Wilson | Pharmacist | 5600 Landers Road, Sherwood, AR 72117 | 2020-11-05 |
| 1306475470 | Amir Amidi | Student in an Organized Health Care Education/Training Program | Baptist Health Family Medicine Residency Clinic, 3201 Springhill Dr., Suite 300, North Little Rock, AR 72117 | 2020-04-02 |
| 1699238147 | Achmed Munir Turay | Student in an Organized Health Care Education/Training Program | Baptist Health Medical Center- North Little Rock, 3333 Springhill Drive, Little Rock, AR 72117 | 2019-04-11 |
| 1548712227 | Arkansas Outpatient Surgery Center, LLC | Clinic/Center | 4331 W. 43rd, North Little Rock, AR 72117 | 2016-10-28 |
| 1982053286 | Amy Rainey | Nurse Practitioner | 3550 Springhill Dr, North Little Rock, AR 72117 | 2016-06-07 |
| 1558764159 | Premier Pharmacy Care LLC | Pharmacy | 760 Michaela Dr., North Little Rock, AR 72117 | 2014-09-27 |
| 1225458813 | Jennifer Lynn Duroy | Obstetrics & Gynecology | 3343 Springhill Dr Ste 3010, North Little Rock, AR 72117 | 2014-04-22 |
| 1285053686 | Jonathan Nicholas Chang | Obstetrics & Gynecology | 3343 Springhill Dr Ste 1005, North Little Rock, AR 72117 | 2014-04-14 |
| 1760820575 | Stefan Ceru Hemmings | Internal Medicine | 3401 Springhill Dr Ste 325, North Little Rock, AR 72117 | 2013-06-13 |
| 1104260629 | Pain & Ortho Products, LLC | Durable Medical Equipment & Medical Supplies | 4628 East 43rd, N Little Rock, AR 72117 | 2013-04-26 |
| Find all providers in zip 72117 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168581 | Pinnacle Physical Therapy | Clinic/Center | 28 Silver Meadow Cv, North Little Rock, AR 72118-5285 | 2017-07-28 |
| 1689896243 | Yarbrough Therapy Services,inc | Clinic/Center | 1709 Wewoka Dr., North Little Rock, AR 72116-4536 | 2007-05-03 |
| 1215071220 | Occupational Health Centers of Arkansas, P.a. | Clinic/Center | 3470 Landers Road, North Little Rock, AR 72117 | 2007-02-16 |
| 1649220807 | Alptp, Pllc | Clinic/Center | 119 West H Avenue, North Little Rock, AR 72116 | 2006-05-10 |
| 1710354865 | Hunt Physical Therapy | Clinic/Center | 505 W Pershing Blvd, North Little Rock, AR 72114 | 2015-08-25 |
| 1336478031 | Harris & Renshaw Rehab Center, Inc. | Clinic/Center | 4801 Fairway Ave, North Little Rock, AR 72116-8009 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339719 | Brookfield Physical Rehabilitation, LLC | Clinic/Center | 205 Sawtooth Oak St, Hot Springs, AR 71901-7169 | 2019-11-04 |
| 1710541289 | Baxter County Regional Hospital Inc | Clinic/Center | 414 W Old Main St Ste B, Yellville, AR 72687-8284 | 2019-04-30 |
| 1417428152 | Exodus Physical Therapy | Clinic/Center | 1728 Westwood Cv, Jonesboro, AR 72401-4793 | 2018-12-06 |
| 1275018954 | Fort Smith Physical Therapy Center | Clinic/Center | 318 N Greenwood Ave, Fort Smith, AR 72901-3454 | 2018-09-28 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1710490818 | Marianna Clo Hendrycy | Clinic/Center | 1830 N Crossover Rd, Fayetteville, AR 72701-2725 | 2017-11-10 |
| 1447614540 | Heather Williams | Clinic/Center | 791 Highway 24 E, De Queen, AR 71832-8425 | 2016-04-05 |
| 1225403843 | Bohannan Physical Therapy LLC | Clinic/Center | 3712 Brighton Pl, Greenwood, AR 72936-6850 | 2015-12-08 |
| 1447634001 | Hambrick Physical Therapy LLC | Clinic/Center | 270 Southfork Rd, Batesville, AR 72501-7791 | 2015-07-14 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72117 |
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| 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.