Unknown Individual – Physical Therapist, NPI 1124341532
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
835 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AR
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Provider Addresses for Unknown Individual
2701, Calico Creek Drive, Timber Creek, North Little Rock, Hill Township, Pulaski County, Arkansas, 72116, United States
NORTH LITTLE ROCK, AR 721167645
Phone: (501) 831-6777
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190618000764 | I | Physical Therapist In Private Practice | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 5,129 | 150 | $0 |
| 97530 | Therapy procedure using functional activities | 1,169 | 71 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 918 | 76 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 656 | 65 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 119 | 105 | $0 |
Insurance plans in this area (ZIP 72116)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Physical Medicine And Rehabilitation | AR | |
| Physical Medicine And Rehabilitation, Pain Management | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | AR |
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