MRS. DARLA JOAN WEAVER (NPI# 1790904191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790904191 |
Entity Type | Individual |
Full Name | MRS. DARLA JOAN WEAVER |
Credential | PT |
Practice Address |
1414 S Elm St Paris AR 72855-4924 |
Mailing Address |
227 Dubbs Way Booneville AR 72927-7849 |
Practice Telephone | 4799636151 |
Practice Fax Number | 4799633331 |
Mailing Telephone | 4796752898 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2009-07-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | PT1447 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT1447 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 128029721 | 05 |
Street Address |
1414 S ELM ST |
City | PARIS |
State | AR |
Zip Code | 72855-4924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578518262 | Northport Health Services of Arkansas, LLC | Skilled Nursing Facility | 1414 S Elm St, Paris, AR 72855-4924 | 2006-05-23 |
1033348099 | Damon James Beauchamp | Occupational Therapist | 1414 S Elm St, Paris, AR 72855-4924 | 2009-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275149791 | Jonathan James Larsen | Pharmacist | 1501 East Walnut, Paris, AR 72855 | 2020-09-21 |
1659753515 | Andrea Edgmon | Social Worker | 2007 East Walnut Street, Paris, AR 72855 | 2015-06-26 |
1942531280 | Anita Spradling | Case Manager/Care Coordinator | 2007 E Walnut, Paris, AR 72855 | 2010-01-27 |
1417107632 | Thomas M. Spivey, D.d.s., P.a. | Dentist | 20 East Short Mountain Street, Paris, AR 72855 | 2008-09-24 |
1285710103 | Nick W Dollar Dds Inc | Dentist | 15 West Main, Paris, AR 72855 | 2006-10-31 |
1831116334 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1501 East Walnut Street, Paris, AR 72855 | 2006-07-17 |
1619939832 | Kathleen H Chung | Optometrist | 25 E. Walnut, Paris, AR 72855 | 2006-04-04 |
1881677870 | Air Evac Ems Inc | Ambulance | 32 Airport Industrial Rd, Paris, AR 72855 | 2005-11-22 |
1003385360 | Cege Neissl | Case Manager/Care Coordinator | 2007 E Walnut, Paris, AR 72855 | 2018-11-16 |
1679078489 | Peggy Rosson | Nurse Practitioner | 500 E Academy St, Paris, AR 72855 | 2018-03-26 |
Find all providers in zip 72855 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
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.