| Do Pt Llc | |
|
1214 Salem Road, Suite A, Benton, AR 72019 | |
| (318) 792-7987 | |
| (501) 457-9090 |
| Full Name | Do Pt Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1214 Salem Road, Benton, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912572025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Douglas L Distefano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225537525 PECOS PAC ID: 1355603234 Enrollment ID: I20180314000288 |
| Provider Name | William Anthony Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033881354 PECOS PAC ID: 5698163939 Enrollment ID: I20211025001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Do Pt Llc 1214 Salem Road, Suite A, Benton, AR 72019 Ph: (318) 792-7987 | Do Pt Llc 1214 Salem Road, Suite A, Benton, AR 72019 Ph: (318) 792-7987 |
Derick Ray Hampel, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 Mcneil St, Benton, AR 72015 Phone: 501-315-0984 | |
Erin Elizabeth Andrews, MS, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5701 Springhill Road, Benton, AR 72015 Phone: 501-653-2255 Fax: 501-653-2257 | |
William Anthony Taylor, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1214 Salem Road, Suite A, Benton, AR 72019 Phone: 501-915-4354 | |
Ms. Kathyrn Elaine Sandusky, MS PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17706 I-30, Ste 3, Benton, AR 72015 Phone: 501-315-4414 Fax: 501-315-3467 | |
Mr. Richard Dale Stevens, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2010 Active Way, Benton, AR 72019 Phone: 501-315-0984 | |
Marla Jo Murphy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2113 Watts Rd, Benton, AR 72015 Phone: 501-778-4960 Fax: 501-778-4968 | |
Mrs. Carrie Anne Johnson, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1102 W South St, Suite 10, Benton, AR 72015 Phone: 559-202-9637 |