# TOTAL RECOVERY PHYSICAL MODALITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881604429
- **Authorized official:** MS. HAZEL R ROBERTS (MANAGER SUPERVISOR)
- **Authorized official phone:** (214) 275-5620

## Contact information

- **Practice address:** 1100 N UNIVERSITY, \#240, LITTLE ROCK, AR 72207
- **Practice address phone:** (501) 614-9774
- **Practice address fax:** (501) 614-0789
- **Mailing address:** PO BOX 271297, DALLAS, TX 75227
- **Mailing address phone:** (214) 325-9508
- **Mailing address fax:** (214) 325-9508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 11/13/2007