Arkansas Physical Therapy Services of Conway, LLC
NPI 1780200782ActiveOrganization· Physical Therapist· Fayetteville, AR
Physical Therapist in Fayetteville, Arkansas, registered in NPPES in June 2020. The authorized official on file is Joshua L. Proffitt, Executive Vice President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1780200782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2020 |
| Last updated in NPPES | Aug 28, 2026 |
| Certified by provider | Aug 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (AR) |
|---|
Other Physical Therapist providers in Fayetteville
- 1881788875
- 1245041672
- 1669865333
- 1467536466
- 1003773912
- 1871381954
- 1831874114
- 1609206325
- 1821233438
- 1194937839
- 1720607443
- 1114421922