| Northwest Arkansas Pediatric Therapy Services, Inc | |
|
827 West Slack Street, Pea Ridge, AR 72751-3703 | |
| (479) 451-9434 | |
| (479) 488-6220 |
| Full Name | Northwest Arkansas Pediatric Therapy Services, Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Pediatrics |
| Location | 827 West Slack Street, Pea Ridge, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447472865 | NPI | - | NPPES |
| 142245716 | Medicaid | AR | |
| 5C140 | Other | AR | INSURANCE |
| 136029742 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT1625 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Arkansas Pediatric Therapy Services, Inc Po Box 585, Pea Ridge, AR 72751-0585 Ph: (479) 451-9434 | Northwest Arkansas Pediatric Therapy Services, Inc 827 West Slack Street, Pea Ridge, AR 72751-3703 Ph: (479) 451-9434 |
Crystal Sennett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 827 Slack St, Pea Ridge, AR 72751 Phone: 147-945-1943 | |
Mrs. Shelia Diana Wilkerson, MS,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 827 West Slack Street, Pea Ridge, AR 72751 Phone: 479-644-5166 Fax: 479-488-6220 | |
Peronia Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 823 Slack St, Pea Ridge, AR 72751 Phone: 479-451-9434 Fax: 479-488-6220 |