1235564600 NPI number — DR. JANET LEANNE COBB PT, DPT

Table of content: DR. JANET LEANNE COBB PT, DPT (NPI 1235564600)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235564600 NPI number — DR. JANET LEANNE COBB PT, DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COBB
Provider First Name:
JANET
Provider Middle Name:
LEANNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PT, DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235564600
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/29/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12627 VINEY GROVE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRAIRIE GROVE
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72753-8251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
479-790-7845
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
128 SOUTHWINDS RD STE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72730-8652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-267-2777
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/04/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT2778 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 157390721 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




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