BOHANNAN PHYSICAL THERAPY LLC (NPI# 1225403843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225403843 |
| Entity Type | Organization |
| Organization Name | BOHANNAN PHYSICAL THERAPY LLC |
| Practice Address |
3712 Brighton Pl Greenwood AR 72936-6850 |
| Practice Telephone | 4795978318 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Authorized Official Name | DR. DAVID BOHANNAN (OWNER) |
| Authorized Official Telephone | 4795978318 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 2764 | AR | Ambulatory Health Care Facilities |
| Street Address |
3712 BRIGHTON PL |
| City | GREENWOOD |
| State | AR |
| Zip Code | 72936-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376022988 | Sonja Kay Cooper | Pharmacist | 2708 Old Chismville Rd, Greenwood, AR 72936 | 2018-08-14 |
| 1225585201 | Henry Counseling Services | Marriage & Family Therapist | 105 North Main St., Greenwood, AR 72936 | 2016-09-07 |
| 1720316235 | Sports Plus Physical Therapy | Physical Therapist | 250 Old Hackett Road, Greenwood, AR 72936 | 2009-11-20 |
| 1285812255 | Lisa Jan Bohne Clay | Psychologist | 2711 Shadow Lake Dr, Greenwood, AR 72936 | 2008-02-01 |
| 1366639684 | Rhonda Michele Barnes | Social Worker | 300 Westwood Ave, Greenwood, AR 72936 | 2007-10-01 |
| 1619018793 | Robert Gary Mack II | Contractor | 2712 Edgewater Drive, Greenwood, AR 72936 | 2007-02-09 |
| 1003963075 | Brent Wade Dunavin | Dentist | 7 W Center Street, Greenwood, AR 72936 | 2007-01-04 |
| 1891851804 | James A Burgess Jr. | Dentist | 7 West Center, Greenwood, AR 72936 | 2006-12-28 |
| 1467512079 | Terrell Wayne Bailey | Dentist | 520 Hamilton Lane, Greenwood, AR 72936 | 2006-12-12 |
| 1801808837 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1530 W Center, Greenwood, AR 72936 | 2006-08-11 |
| Find all providers in zip 72936 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154692481 | Mcl Therapy LLC | Clinic/Center | 250 Old Hackett Rd, Greenwood, AR 72936-4704 | 2012-01-18 |
| 1922384080 | Kids Abilities Indiana, Inc. | Clinic/Center | 1788 Windward Dr, Greenwood, IN 46143-8408 | 2011-11-02 |
| 1497978001 | Physiotherapy Associates, Inc. | Clinic/Center | 3177 Meridian Park Dr, Greenwood, IN 46142 | 2007-04-11 |
| 1275515959 | Greenwood Physical Therapy Center, Inc. | Clinic/Center | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2005-11-17 |
| 1104343573 | Ufit Inc | Clinic/Center | 2801 Fairview Pl Ste A, Greenwood, IN 46142-1339 | 2017-08-27 |
| 1184166266 | Hayden Physical Therapy | Clinic/Center | 586 S State Road 135, Suite E, Greenwood, IN 46142-1439 | 2016-11-07 |
| 1417313925 | Bohannan Irgens Group LLC | Clinic/Center | 515 Forrest Park Way, Greenwood, AR 72936-5955 | 2016-01-13 |
| 1518363647 | Anderson Physical Therapy Clinic Inc | Clinic/Center | 212 Overland Dr, Greenwood, SC 29646-4069 | 2014-11-18 |
| 1225353154 | Piedmont Physical Therapy, Inc. | Clinic/Center | 234 Birchtree Dr, Greenwood, SC 29649-1502 | 2010-04-03 |
| 1235292509 | Greenwood Sports and Industrial Rehab | Clinic/Center | 1602 Spring St, Greenwood, SC 29646-4072 | 2006-12-18 |
| Find all providers in GREENWOOD | ||||
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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.