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Organization

APTC OF NORTH LITTLE ROCK, INC

Active
Other names
Advanced Physical Therapy of North Little Rock
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA STREETER (CHIEF ADMINISTRATIVE OFFICER)
(800) 699-9395
Entity
Organization

Contact information

Practice address
2504 MCCAIN BLVD STE 230, NORTH LITTLE ROCK, AR 72116-7607
(501) 758-5555
(501) 758-5941
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000000192
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130502742
AR
01
374964900
OWCP: OFFICE OF WORK COMP
AR
01
4657970
AETNA
AR
01
5F776
MEDICARE NUMBER
AR
01
DA7015
RAILROAD MEDICARE GROUP
AR
01
DN8325
MEDICARE RAILROAD
AR
01
P00855756
RAILROAD MEDICARE
AR
01
P00855769
RAILROAD MEDICARE
AR
Enumeration date
06/20/2005
Last updated
05/14/2026
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