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Optimal Pain And Wellness

Physical Medicine & Rehabilitation in Fayetteville, AR. Organization (NPI-2).

NPI number1487920146
StatusActive
Last updated in NPPESSep 25, 2019

Details

NPI
1487920146
Entity type
Organization (NPI-2)
Legal business name
Optimal Pain And Wellness
Organization subpart
No
Enumeration date
Mar 28, 2012
Last updated
Sep 25, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationE4490ARYes

Practice location

1708 E Joyce Blvd
Fayetteville, AR 72703-5252

Phone 479-301-2565 · Fax 479-301-2717

Mailing address

1708 E Joyce Blvd
Fayetteville, AR 72703-5252

Phone 479-301-2565 · Fax 479-301-2717

Authorized official

Regina E Thurman
President
4793012565

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Medicine & Rehabilitation Physician providers in Fayetteville, AR

All 13 Physical Medicine & Rehabilitation Physician providers in Fayetteville · All 4,767 providers in Fayetteville

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