MOUNTAINCREST REHAB SERVICES (NPI# 1467437087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467437087 |
| Entity Type | Organization |
| Organization Name | MOUNTAINCREST REHAB SERVICES |
| Other Organization Name | MOUNTAINCREST REHABILITATION |
| Practice Address |
816 N Main St Harrison AR 72601-2915 |
| Mailing Address |
Po Box 841 Harrison AR 72602-0841 |
| Practice Telephone | 8707435573 |
| Practice Fax Number | 8707435974 |
| Mailing Telephone | 8707435573 |
| Mailing Fax Number | 8707435974 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-11-29 |
| Authorized Official Name | JOEL DAMARILLO SEBAG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8707435573 |
| Authorized Official Credential | RPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5C311 | 01 |
| Other Name | Type Code |
|---|---|
| Mountaincrest Rehabilitation | Other Name - Individual/Organization |
| Street Address |
816 N MAIN ST |
| City | HARRISON |
| State | AR |
| Zip Code | 72601-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255693552 | Christen Dale Demeyer | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-06-12 |
| 1477811180 | Amy Dawn Villines | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-05-01 |
| 1326313974 | Diana Michelle Everly | Day Training/Habilitation Specialist | 816 N Main St, Suite A, Harrison, AR 72601-2915 | 2012-03-15 |
| 1992076004 | Erin Nichole Patton | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-20 |
| 1093085805 | Tina Renee Eddings | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-10 |
| 1942570759 | Cinderella Clark | Day Training/Habilitation Specialist | 816 N Main St, Harrison, AR 72601-2915 | 2012-01-10 |
| 1285911768 | Kidworx Academy | Dietitian, Registered | 816 N Main St, Harrison, AR 72601-2915 | 2011-11-10 |
| 1760763932 | Jennifer Lynn Stewart | Licensed Practical Nurse | 816 N Main St, Harrison, AR 72601-2915 | 2011-09-01 |
| 1427336015 | Kidworx Academy | Day Training, Developmentally Disabled Services | 816 N Main St, Harrison, AR 72601-2915 | 2011-07-30 |
| 1629390414 | Med Chi Professionals, LLC | Physical Medicine & Rehabilitation | 816 N Main St, Suite B, Harrison, AR 72601-2915 | 2010-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280364 | Linda Marie Balcerak | Physical Therapy Assistant | 400 Hwy 43 East, Harrison, AR 72601 | 2019-05-14 |
| 1750847315 | Boston Mountain Rural Health Center Inc. | Clinic/Center | 1002 North Spring St., Harrison, AR 72601 | 2019-02-19 |
| 1154808236 | Carrie Lynn Miller | Midwife | 5977 Sulphur. Mt. Rd, Harrison, AR 72601 | 2018-07-23 |
| 1255833778 | Julie Foster, Speech Language Pathologist, Inc. | Speech-Language Pathologist | 1898 Foley Rd, Harrison, AR 72601 | 2018-02-28 |
| 1386163582 | Reagan Brittany Kenney | Case Manager/Care Coordinator | 4537 Meadow Wood Lane, Harrison, AR 72601 | 2017-09-19 |
| 1306394465 | Rebecca Jane Mcanulty | Nurse Practitioner | 702 N. Springs Street, Harrison, AR 72601 | 2016-09-19 |
| 1194174763 | Jessalyn Foy | Case Manager/Care Coordinator | 413 N Rowland St, Harrison, AR 72601 | 2016-06-06 |
| 1689022311 | Eva Laynette Norris | Case Manager/Care Coordinator | 114 E. Crandall, Harrison, AR 72601 | 2016-06-03 |
| 1760830491 | Jana Daniels | Case Manager/Care Coordinator | 9378a Hwy 7 North, Harrison, AR 72601 | 2016-06-03 |
| 1376992016 | Laken Nichole Curtis | Case Manager/Care Coordinator | 5985 James Phifer Ln, Harrison, AR 72601 | 2016-06-03 |
| Find all providers in zip 72601 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962515809 | Evergreen Physical Therapy Limited Partnership | Clinic/Center | 158 North First Street, Suite D, Harrison, MI 48625 | 2006-08-16 |
| 1508191271 | Ortho Spine Care, LLC | Clinic/Center | 816 N Main St, Harrison, AR 72601-2915 | 2009-10-13 |
| 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 |
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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.