JUSTIN ALLEN VANLANDINGHAM – Physical Therapist, NPI 1194069351

JUSTIN ALLEN VANLANDINGHAM is a healthcare provider. based in Lonoke, Arkansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT3552 (AR). The NPI Number for JUSTIN ALLEN VANLANDINGHAM is 1194069351

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN ALLEN VANLANDINGHAM
NPI
1194069351
Phone
(501) 676-5540
Address
1515 N CENTER ST
Enumeration Date
12 November 2012
Last Update Date
12 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9017593196
Graduation Year
2012 (14 years ago)
PAC ID
5799937454
Group Practice PAC ID
9638082076
Professional Enrollment ID
I20221025000181
Address ID
MS386715806SO7545XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

838 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AR

Provider Addresses for JUSTIN ALLEN VANLANDINGHAM

  • 1515 N CENTER ST

    SUITE 5

    LONOKE, AR 720862101

    Phone: (501) 676-5540

    Fax: (501) 676-6499

    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.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-25

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221025000181IPhysical Therapist In Private PracticeMSTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2925$0
97140Therapy procedure using manual technique, each 15 minutes2318$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes2219$0
97530Therapy procedure using functional activities1512$0
View full utilization report →

Insurance plans in this area (ZIP 72086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638082076View full group profile
NameSpecialtyState
Orthopedic SurgeryTN
Hand Surgery, Orthopedic SurgeryTN
Nurse PractitionerMS
Physician AssistantTN
Family Practice, Sports MedicineTN
Orthopedic SurgeryTN
Orthopedic SurgeryTN
Physician AssistantTN
Physical Therapist In Private PracticeTN
Physician AssistantMN

Reviews

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Frequently asked questions

What number should I use to identify JUSTIN ALLEN VANLANDINGHAM for billing?
Administrative and clinical systems typically use NPI 1194069351 for JUSTIN ALLEN VANLANDINGHAM.
Is JUSTIN ALLEN VANLANDINGHAM's NPI status active today?
Active status means JUSTIN ALLEN VANLANDINGHAM's NPI record is not deactivated in the public file.
What services align with JUSTIN ALLEN VANLANDINGHAM's listing?
JUSTIN ALLEN VANLANDINGHAM's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JUSTIN ALLEN VANLANDINGHAM?
JUSTIN ALLEN VANLANDINGHAM shows a connection to Lonoke, Arkansas in registry-derived data.
Who maintains JUSTIN ALLEN VANLANDINGHAM's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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