ADVANCED SPINE & THERAPY, LLC
NPI 1750085189
Clinic/Center - Physical Therapy in Mena, AR

Active since March 29, 2023
300 CRESTWOOD CIR, MENA, AR 71953(479) 216-2315(479) 413-8090 Get Directions Write a Review

NPPES record last updated: November 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2023, Nov 12, 2023, Apr 5, 2023 and 1 more (4 updates tracked since 2023).

About Advanced Spine & Therapy, Llc NPPES

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

ADVANCED SPINE & THERAPY, LLC (NPI 1750085189) is a healthcare organization registered as a physical therapy in Mena, Arkansas and active in the NPI registry since March 2023. The organization lists Delta Gunn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1750085189
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameADVANCED SPINE & THERAPY, LLC
Location Address300 CRESTWOOD CIRMena, AR 71953-5515
Mailing Address300 Crestwood CirMena, AR 71953-5515 · (479) 216-2315 · Fax (479) 413-8090
Fax(479) 413-8090
Organization SubpartNo
Authorized OfficialDelta GunnPractice Manager · (479) 216-2315
Enumeration DateMarch 29, 2023
Last NPPES UpdateNovember 30, 20244 updates tracked since enumeration
NPPES CertifiedNovember 30, 2024
✔ NPI 1750085189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
300 CRESTWOOD CIR, Mena, AR 71953

Other Identifiers 1

Medicaid319883742AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Spine & Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Spine & Therapy, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1184133159
300 CRESTWOOD CIR
Mena, AR 71953
(479) 216-2315
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1174166623
300 CRESTWOOD CIR
Mena, AR 71953
(479) 216-2315
✔ Accepts MedicareSame address

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 Advanced Spine & Therapy, LLC's NPI number?

The NPI number for Advanced Spine & Therapy, LLC is 1750085189. It was assigned to this organization in the NPPES registry on March 29, 2023.

Where is Advanced Spine & Therapy, LLC located?

Advanced Spine & Therapy, LLC is located at 300 Crestwood Cir, Mena, AR 71953. The listed phone number is (479) 216-2315.

What is Advanced Spine & Therapy, LLC's specialty?

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

Is Advanced Spine & Therapy, LLC enrolled in Medicare?

Yes. Advanced Spine & Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Spine & Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Advanced Spine & Therapy, LLC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Spine & Therapy, LLC was last updated on November 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.