MRS. SAMANTHA CAVAGNARO (NPI# 1083649917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083649917 |
Entity Type | Individual |
Full Name | MRS. SAMANTHA CAVAGNARO |
Credential | DPT |
Practice Address |
1500 Wilson Loop Ward AR 72176 |
Mailing Address |
433 Wisteria Dr Bauxite AR 72011-8932 |
Practice Telephone | 5019415630 |
Mailing Telephone | 5019415630 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT2259 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BLUE CROSS BLUE SHIELD | 5U633 | 01 |
Street Address |
1500 WILSON LOOP |
City | WARD |
State | AR |
Zip Code | 72176 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134185937 | Allied Therapy and Consulting Services, Pa | Specialist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2006-04-21 |
1811529589 | Stephanie Nicole Lobsiger | Physical Therapy Assistant | 1500 Wilson Loop, Ward, AR 72176-8656 | 2020-02-10 |
1528615994 | Hannah Murray | Speech-Language Pathologist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2019-08-21 |
1740841261 | Jaylin Brock | Occupational Therapy Assistant | 1500 Wilson Loop, Ward, AR 72176-8656 | 2019-06-25 |
1629587365 | Kristin Linton | Speech-Language Pathologist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2017-09-26 |
1245772011 | Chloe Bass | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2016-11-10 |
1922466127 | Katelyn Skarda | Occupational Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2016-02-02 |
1114397502 | Zachary Fendley | Occupational Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2015-09-29 |
1063889095 | Holly Peters | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2015-08-25 |
1225413495 | Alicia Billings | Massage Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2015-07-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134355043 | Beyond Boundaries | Occupational Therapist | 2195 Peyton Street, Ward, AR 72176 | 2009-06-05 |
1831389451 | Bobby Glenn Carpenter | Chiropractor | 11659 Arkansas Highway 38, Ward, AR 72176 | 2007-07-30 |
1073650008 | Mary Beth Stivers | Speech-Language Pathologist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2007-01-31 |
1881740538 | Mollie Gentry | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-01-26 |
1326361023 | Siobhan Carpenter | Speech-Language Pathologist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2010-03-09 |
1992936082 | Kele Elizabeth Wilson | Occupational Therapist | 1500 Wilson Loop Road, Ward, AR 72176 | 2009-08-06 |
1184865677 | Nicole C Himmelman | Physical Therapist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2009-03-13 |
1730320359 | Emily R Cheatham | Speech-Language Pathologist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2009-03-11 |
1952521841 | Rita Gayle Sawyer | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-04-26 |
1518093095 | Kelly Truby | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-02-26 |
Find all providers in zip 72176 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649316530 | Jennifer Brooke Bricker | Physical Therapist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-01-29 |
1356487243 | Diana Lynn Woodiel | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2007-01-29 |
1700810355 | Lisa George | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176 | 2006-07-10 |
1295773919 | Beth Stamp | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2006-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
1891152435 | Tamara Fowler | Physical Therapist | 8319 Geyer Springs Rd, Little Rock, AR 72209-4945 | 2016-01-27 |
1285001487 | Jennifer Lynne Hallam | Physical Therapist | 1100 Division St Ste 3, Prairie Grove, AR 72753-5501 | 2015-08-24 |
1780069476 | Edith Areli Molina Amaya | Physical Therapist | 2819 W Hillshire Dr, Fayetteville, AR 72704-5137 | 2015-07-23 |
1740683044 | Jeremy Riddle | Physical Therapist | 4 Downwind Ave, Greenbrier, AR 72058-9815 | 2014-09-30 |
1730470998 | Stefanie Hines Schumacher | Physical Therapist | 48 Colt Square, Fayetteville, AR 72703-2813 | 2011-04-22 |
1497088918 | Shawna Walter | Physical Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2009-09-16 |
1316199540 | Nancy Renee George | Physical Therapist | 2571 Indian Oaks Trl, Springdale, AR 72762-2592 | 2008-10-21 |
1396900676 | Jolynn Pickens | Physical Therapist | 7312 Geronimo Cir, North Little Rock, AR 72116-4363 | 2008-07-25 |
1245491224 | The Therapy Spot,llc | Physical Therapist | 3130 Market St., Fayetteville, AR 72703-7519 | 2008-06-22 |
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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.