SKILLED THERAPY PROVIDERS
NPI 1720912579
Clinic/Center - Physical Therapy in Maumelle, AR

Active since June 09, 2026CLIA 04D2062243 · Waiver
8030 COUNTS MASSIE RD STE A, MAUMELLE, AR 72113(501) 358-6013(501) 358-6013 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Skilled Therapy Providers NPPES

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

SKILLED THERAPY PROVIDERS (NPI 1720912579) is a healthcare organization registered as a physical therapy in Maumelle, Arkansas and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through July 11, 2027 and lists Jackie M Bracey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720912579
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameSKILLED THERAPY PROVIDERS
Location Address8030 COUNTS MASSIE RD STE AMaumelle, AR 72113-6720
Mailing Address8030 Counts Massie Rd Ste AMaumelle, AR 72113-6720 · (501) 358-6013 · Fax (501) 358-6013
Fax(501) 358-6013
Organization SubpartNo
Authorized OfficialJackie M BraceyAdministrator · (501) 358-6013
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1720912579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An 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.
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
8030 COUNTS MASSIE RD STE A, Maumelle, AR 72113

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2062243

Skilled Therapy Providers Trs Worksite Solution · Maumelle, AR
Active · expires Jul 11, 2027
CLIA Number04D2062243
Laboratory TypeMobile Laboratory
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorSandy L. Greeson
Laboratory Phone(501) 358-6013
Laboratory LocationSkilled Therapy Providers Trs Worksite Solution2001 Club Manor, Suite J-4, Maumelle, AR 72113
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Skilled Therapy Providers's NPI number?

The NPI number for Skilled Therapy Providers is 1720912579. It was assigned to this organization in the NPPES registry on June 9, 2026.

Where is Skilled Therapy Providers located?

Skilled Therapy Providers is located at 8030 Counts Massie Rd Ste A, Maumelle, AR 72113. The listed phone number is (501) 358-6013.

What is Skilled Therapy Providers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Does Skilled Therapy Providers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2062243) is associated with this NPI, valid through July 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Skilled Therapy Providers was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.