1861781973 NPI number — SARAH KAY ALBERTSON DPT

Table of content: SARAH KAY ALBERTSON DPT (NPI 1861781973)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861781973 NPI number — SARAH KAY ALBERTSON DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALBERTSON
Provider First Name:
SARAH
Provider Middle Name:
KAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HART
Provider Other First Name:
SARAH
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DPT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1861781973
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1635 HIGDON FERRY RD STE G
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOT SPRINGS NATIONAL PARK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
71913-6904
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-525-2273
Provider Business Mailing Address Fax Number:
501-525-1773

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
110 ESTES WAY STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOT SPRINGS VILLAGE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
71909-7480
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-525-2273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2011

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:  PT3296 , 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)





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