Provider Demographics
NPI:1144344508
Name:FIRST STEP PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:FIRST STEP PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-350-3921
Mailing Address - Street 1:654 STEVENSON ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-4848
Mailing Address - Country:US
Mailing Address - Phone:501-351-6287
Mailing Address - Fax:501-982-1414
Practice Address - Street 1:305 VALLEY DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-1505
Practice Address - Country:US
Practice Address - Phone:870-572-3417
Practice Address - Fax:870-572-2653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty