SPINE AND SPORTS REHABILITATION
NPI 1104190347
Physical Therapist in Harrison, AR

Active since March 06, 2012
501 N MAIN ST, HARRISON, AR 72601(870) 741-1206(870) 743-5974 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Spine And Sports Rehabilitation NPPES

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

SPINE AND SPORTS REHABILITATION (NPI 1104190347) is a healthcare organization registered as a physical therapist in Harrison, Arkansas and active in the NPI registry since March 2012. The organization lists Norma Lee Stockstill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104190347
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSPINE AND SPORTS REHABILITATION
Location Address501 N MAIN STHarrison, AR 72601-3535
Mailing AddressPo Box 861Harrison, AR 72602-0861 · (870) 741-1206 · Fax (870) 743-5974
Fax(870) 743-5974
Organization SubpartNo
Authorized OfficialNorma Lee StockstillOffice Manager · (870) 741-1206
Enumeration DateMarch 6, 2012
Last NPPES UpdateMarch 7, 2012
✔ NPI 1104190347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
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.
Also ListedOccupational TherapistTaxonomy 225X00000X
501 N MAIN ST, Harrison, AR 72601

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine And Sports Rehabilitation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20120418000301Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Spine And Sports Rehabilitation, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Physical Therapist in Private Practice
NPI 1164405395
825 N MAIN ST STE 7
Harrison, AR 72601
(870) 743-5573
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1740263987
825 N MAIN ST STE 7
Harrison, AR 72601
(870) 743-5573
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1891778031
825 N MAIN ST STE 7
Harrison, AR 72601
(870) 743-5573
0.3 mi

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

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 Spine And Sports Rehabilitation's NPI number?

The NPI number for Spine And Sports Rehabilitation is 1104190347. It was assigned to this organization in the NPPES registry on March 6, 2012.

Where is Spine And Sports Rehabilitation located?

Spine And Sports Rehabilitation is located at 501 N Main St, Harrison, AR 72601. The listed phone number is (870) 741-1206.

What is Spine And Sports Rehabilitation's specialty?

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

Is Spine And Sports Rehabilitation enrolled in Medicare?

Yes. Spine And Sports Rehabilitation is registered in the Medicare PECOS enrollment system.

When is Spine And Sports Rehabilitation's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spine And Sports Rehabilitation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Spine And Sports Rehabilitation. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine And Sports Rehabilitation was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.