Provider Demographics
NPI:1861444036
Name:ACCESS REHAB & THERAPY SERVICES, INC.
Entity type:Organization
Organization Name:ACCESS REHAB & THERAPY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BARTOLE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:501-982-0591
Mailing Address - Street 1:PO BOX 5415
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72078-5415
Mailing Address - Country:US
Mailing Address - Phone:501-982-0591
Mailing Address - Fax:
Practice Address - Street 1:2902 E KIEHL AVE STE 3
Practice Address - Street 2:
Practice Address - City:SHERWOOD
Practice Address - State:AR
Practice Address - Zip Code:72120-3280
Practice Address - Country:US
Practice Address - Phone:501-982-0591
Practice Address - Fax:501-982-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR161192742Medicaid
AR5F588OtherBLUE CROSS/BLUE SHIELD
AR5F588Medicare PIN
AR5733900001Medicare NSC