| Maumelle Physical Therapy | |
|
9843 Maumelle Blvd, North Little Rock, AR 72113-7027 | |
| (501) 851-6600 | |
| (501) 851-6643 |
| Full Name | Maumelle Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 9843 Maumelle Blvd, North Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730163072 | NPI | - | NPPES |
| 157828742 | Medicaid | AR | |
| 5F332 | Other | AR | AR BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT2475 (Arkansas) | Primary |
| Provider Name | Kenneth A Deluca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114901451 PECOS PAC ID: 7719927367 Enrollment ID: I20050503001295 |
| Mailing Address | Practice Location Address |
|---|---|
| Maumelle Physical Therapy Po Box 13567, Maumelle, AR 72113-0567 Ph: (501) 753-2201 | Maumelle Physical Therapy 9843 Maumelle Blvd, North Little Rock, AR 72113-7027 Ph: (501) 851-6600 |
Catherine Denise Miller, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 501-257-3035 | |
Deidre Leigh Cravens, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4540 John F Kennedy Blvd, North Little Rock, AR 72116 Phone: 501-758-5555 Fax: 501-758-5941 | |
Laurie Ann Berry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4107 Richards Rd, North Little Rock, AR 72117 Phone: 501-955-2220 | |
Darby Smith, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4107 Richards Rd, North Little Rock, AR 72117 Phone: 501-955-2220 | |
Cory Bryant, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5013 John F Kennedy Blvd, North Little Rock, AR 72116 Phone: 501-904-2778 Fax: 866-724-7887 | |
Progressive Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 W Pershing Blvd, Suite D, North Little Rock, AR 72114 Phone: 501-753-5189 Fax: 501-753-0255 | |
Mrs. Robyn Scot Porter, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Oak Tree Cir, North Little Rock, AR 72116 Phone: 501-812-5251 |