Provider Demographics
NPI:1962519389
Name:WLRPT, INC
Entity type:Organization
Organization Name:WLRPT, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DARBY
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRIGHTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-221-6009
Mailing Address - Street 1:11900 KANIS RD STE D4
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3769
Mailing Address - Country:US
Mailing Address - Phone:501-221-6009
Mailing Address - Fax:501-801-1065
Practice Address - Street 1:11900 KANIS RD STE D4
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3769
Practice Address - Country:US
Practice Address - Phone:501-221-6009
Practice Address - Fax:501-801-1065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1865225100000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C983Medicare UPIN
=========Medicare UPIN
5C983Medicare PIN
5U415Medicare ID - Type Unspecified