INSTITUTE FOR ADVANCED MEDICINE, PA (NPI# 1477058121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477058121 |
| Entity Type | Organization |
| Organization Name | INSTITUTE FOR ADVANCED MEDICINE, PA |
| Practice Address |
907 Se Village Loop Ste 5 Bentonville AR 72712-4320 |
| Practice Telephone | 4792686040 |
| Practice Fax Number | 4794315098 |
| Mailing Telephone | 4792686040 |
| Mailing Fax Number | 4794315098 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Authorized Official Name | DR. CHRISTIAN ROBERTOZZI (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4794029400 |
| Authorized Official Credential | PT, DPT, OCS |
| 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 |
| Street Address |
907 SE VILLAGE LOOP STE 5 |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712-4320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093153173 | Christian Charles Robertozzi | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2013-06-11 |
| 1497233472 | Kyle Roliard | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2018-08-01 |
| 1437696440 | Bentonville Physical Therapy Specialists | Physical Therapist | 907 Se Village Loop Ste 5, Bentonville, AR 72712-2229 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1295361509 | Unbridled Holdings LLC | Physical Therapy Assistant | 9900 Price Coffee Rd, Bentonville, AR 72712 | 2020-03-18 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013060029 | Steadman Therapy Pa | Clinic/Center | 12715 Peach Orchard Rd, Bentonville, AR 72712-9050 | 2007-01-21 |
| 1417198482 | Regional Therapy, LLC | Clinic/Center | 3101 Se 14th St, Bentonville, AR 72712-4900 | 2009-03-20 |
| 1134258981 | Premiere Physical Therapy and Sports Rehab LLC | Clinic/Center | 203 Se 22nd St, Suite 9, Bentonville, AR 72712-4310 | 2007-03-05 |
| 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 | BENTONVILLE |
| Zip Code | 72712 |
Please comment or provide details below to improve the information on INSTITUTE FOR ADVANCED MEDICINE, PA.
| 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.