MOUNTAINCREST REHABILITATION (NPI# 1124579164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124579164 |
| Entity Type | Organization |
| Organization Name | MOUNTAINCREST REHABILITATION |
| Practice Address |
1801 Forest Hills Blvd Bella Vista AR 72715-3016 |
| Practice Telephone | 4798559348 |
| Practice Fax Number | 4798559358 |
| Mailing Telephone | 4798559348 |
| Mailing Fax Number | 4798559358 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | STEWART ONG (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4792364987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
4153 | AR | Ambulatory Health Care Facilities |
| Street Address |
1801 FOREST HILLS BLVD |
| City | BELLA VISTA |
| State | AR |
| Zip Code | 72715-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255395752 | Larry Don Wright | Internal Medicine | 1801 Forest Hills Blvd, Suite 201, Bella Vista, AR 72715-3016 | 2006-04-13 |
| 1114392818 | Paochoua Lee | Physical Therapy Assistant | 1801 Forest Hills Blvd, Ste# 205, Bella Vista, AR 72715-3016 | 2015-12-07 |
| 1649605437 | Good Shepherd In-home Senior Care | In Home Supportive Care | 1801 Forest Hills Blvd, 133, Bella Vista, AR 72715-3016 | 2013-09-11 |
| 1669817342 | Amanda R Davitt | Physical Therapy Assistant | 1801 Forest Hills Blvd, 205, Bella Vista, AR 72715-3016 | 2013-05-07 |
| 1477835213 | Shane Ledrew Fink | Physical Therapy Assistant | 1801 Forest Hills Blvd, 205, Bella Vista, AR 72715-3016 | 2011-09-19 |
| 1902101322 | John J Bania | Physical Therapy Assistant | 1801 Forest Hills Blvd, Ste# 205, Bella Vista, AR 72715-3016 | 2011-01-14 |
| 1821251273 | Alisa Joy Johnson | Massage Therapist | 1801 Forest Hills Blvd, Ste 202, Bella Vista, AR 72715-3016 | 2008-07-07 |
| 1518918515 | Qhg of Springdale Inc | Clinic/Center | 1801 Forest Hills Blvd, Suite 6201, Bella Vista, AR 72715-3016 | 2006-05-14 |
| 1588614945 | Stewart Ong | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715-3016 | 2006-05-10 |
| 1790742021 | Coleen Leann Moore | Physical Therapist | 1801 Forest Hills Blvd, Ste 205, Bella Vista, AR 72715 | 2006-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878190 | Joshua Christian Hefty | Physical Therapy Assistant | 1801 Forest Blvd #205, Bella Vista, AR 72715 | 2020-10-15 |
| 1588892822 | Judith Ann Hamby | Physical Therapist | 1801 Forest Hills, Suite 205, Bella Vista, AR 72715 | 2009-06-25 |
| 1184789398 | Kurt Solera | Dentist | 600 West Lancashire Blvd, Bella Vista, AR 72715 | 2006-12-27 |
| 1366532749 | Sonja Ruth Kvale | Counselor | 5 Player Lane, Bella Vista, AR 72715 | 2006-10-13 |
| 1407810989 | Bilquis Imtiaz Khot | Internal Medicine | 1801 Forest Hills Blvd., Ste. 201, Bella Vista, AR 72715 | 2006-04-13 |
| 1982769592 | Kurt Solera Dds Pa | Dentist | 600 W Lancashire Blvd, Bella Vista, AR 72715-0237 | 2006-12-26 |
| 1407814270 | Richard Wayne Miles | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2006-05-02 |
| 1073748141 | Richard W. Miles, M.d. & Assoc., Pllc | Internal Medicine | 30 Cambria Dr, Bella Vista, AR 72715-1503 | 2009-05-19 |
| 1366043903 | Stephanie Jane Brackeen | Massage Therapist | 95 Bassingham Dr, Bella Vista, AR 72715-1526 | 2020-11-02 |
| 1144642398 | Shauna Harp | Respiratory Therapist, Registered | 10 Weston Ln, Bella Vista, AR 72715-2301 | 2014-01-07 |
| Find all providers in zip 72715 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 |
| 1386168581 | Pinnacle Physical Therapy | Clinic/Center | 28 Silver Meadow Cv, North Little Rock, AR 72118-5285 | 2017-07-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BELLA VISTA |
| Zip Code | 72715 |
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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.