IDUMANGE T. IDUMANGE PT
NPI 1083864649
Physical Therapist in N Little Rock, AR

Active since September 19, 2008
505 W PERSHING BLVD STE D, N LITTLE ROCK, AR 72114(501) 812-4970(501) 812-4972 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Idumange T. Idumange Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDUMANGE T. IDUMANGE PT (NPI 1083864649) is an individual physical therapist in N Little Rock, Arkansas, licensed in Arkansas (PT1965) and active in the NPI registry since September 2008. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1083864649
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameIDUMANGE T. IDUMANGECredential: PT
Location Address505 W PERSHING BLVD STE DN Little Rock, AR 72114-2157
Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (008) 824-4094
Fax(501) 812-4972
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 19, 2008
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1083864649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in AR · PT1965
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
505 W PERSHING BLVD STE D, N Little Rock, AR 72114

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Idumange T. Idumange Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274068101
PECOS Enrollment IDI20241202000189

Medicare Billing Reassignments

2

Medicare enrollment records show Idumange Idumange reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
505 W PERSHING BLVD, SUITE D
N Little Rock, AR 72114
  • Reassigned Medicare billing, Arkansas enrollment
  • 5 clinicians in this Medicare group
Physical Therapist
13100 CHENAL PKWY
Little Rock, AR 72211
  • Reassigned Medicare billing, Arkansas enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
505 W PERSHING BLVD STE D
NORTH LITTLE ROCK, AR 72114
Physical Therapist
505 W PERSHING BLVD STE D
N LITTLE ROCK, AR 72114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Idumange Idumange's NPI number?

The NPI number for Idumange Idumange is 1083864649. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Where is Idumange Idumange located?

Idumange Idumange practices at 505 W Pershing Blvd Ste D, N Little Rock, AR 72114. The listed phone number is (501) 812-4970.

What is Idumange Idumange's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Idumange Idumange enrolled in Medicare?

Yes. Idumange Idumange is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Idumange Idumange's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Idumange Idumange reassigns Medicare benefits to 2 organizations: Hunt Physical Therapy, LLC (N Little Rock, AR) and Orthopedic Rehabilitation Centers LLC (Little Rock, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Idumange Idumange's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Idumange Idumange accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Idumange Idumange as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Idumange Idumange was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.