Provider Demographics
NPI:1386168581
Name:PINNACLE PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:PINNACLE PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS, ATC, PES
Authorized Official - Phone:501-529-2010
Mailing Address - Street 1:12233 SOUTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-1745
Mailing Address - Country:US
Mailing Address - Phone:501-529-2010
Mailing Address - Fax:
Practice Address - Street 1:12511 CANTRELL RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1610
Practice Address - Country:US
Practice Address - Phone:501-529-2010
Practice Address - Fax:501-400-7329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3964261QP2000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy