DELTIC THERAPY (REAPER THERAPY, LLC) NPI 1164712725

Clinic/Center (Physical Therapy) in Carlisle, AR

NPI 1164712725 Organization Clinic/Center Physical Therapy

About DELTIC THERAPY (REAPER THERAPY, LLC)

Deltic Therapy (reaper Therapy, Llc) is a provider established in Carlisle, Arkansas specializing in clinic/center (physical therapy) . The NPI number of Deltic Therapy (reaper Therapy, Llc) is 1164712725 and was assigned on April 2011. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Deltic Therapy. The authorized official of this NPI record is Mr. Alex K Collier (Llc Member)

NPI

1164712725

Provider NameDELTIC THERAPY (REAPER THERAPY, LLC)
Provider Location Address821 E PARK ST CARLISLE, AR 72024
Provider Mailing Address821 E PARK ST CARLISLE, AR 72024
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameDELTIC THERAPY
Other Name TypeDoing Business As (3)
Enumeration Date04-15-2011
Last Update Date11-29-2012


Primary Taxonomy

Taxonomy Code261QP2000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Business Address

DELTIC THERAPY
821 E PARK ST
CARLISLE, AR
ZIP 72024
Phone: (870) 552-7110
Fax: (870) 552-7115

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Mailing Address

DELTIC THERAPY
821 E PARK ST
CARLISLE, AR
ZIP 72024
Phone: (870) 552-7110
Fax: (870) 552-7115



Authorized Official

Authorized Official NameMR. ALEX K COLLIER
Authorized Official TitleLLC MEMBER
Authorized Official Phone(870) 347-2568

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
187687742MEDICAID (05)AR
187820742MEDICAID (05)AR

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689920126 SHALA D NEAL OT
Individual
Occupational Therapist821 E PARK ST
CARLISLE, AR 72024
(870) 552-7110
1114159688MRS. JENNIE BREANNE TIDWELL OTR/L
Individual
Occupational Therapist821 E PARK ST
CARLISLE, AR 72024
(870) 552-7110
1619309358 MATTHEW BRYAN THARP DPT
Individual
Physical Therapist821 E PARK ST
CARLISLE, AR 72024
(870) 552-7110
1184064446 BRITTANY HOWARD PHARMD
Individual
Pharmacist821 E PARK ST
CARLISLE, AR 72024
(870) 552-1258
1609400308MRS. ALEX LAUREN WALKER RD
Individual
Dietitian, Registered821 E PARK ST
CARLISLE, AR 72024
(870) 552-7303
1407450539MRS. ALEXIS NICOLE VAN HOUTEN APRN
Individual
Nurse Practitioner (Family)821 E PARK ST
CARLISLE, AR 72024
(870) 347-3421
1205307642ARCARE
Organization
Pharmacy (Community/Retail Pharmacy)821 E PARK ST
CARLISLE, AR 72024
(870) 552-1258
1205407962 MICHELLE L TAYLOR APRN
Individual
Nurse Practitioner (Family)821 E PARK ST
CARLISLE, AR 72024
(870) 347-3421

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.