Provider Demographics
NPI:1962642900
Name:BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA
Entity type:Organization
Organization Name:BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-663-6455
Mailing Address - Street 1:5220 NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-5297
Mailing Address - Country:US
Mailing Address - Phone:501-663-4320
Mailing Address - Fax:501-978-1452
Practice Address - Street 1:5220 NORTHSHORE DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-5297
Practice Address - Country:US
Practice Address - Phone:501-663-4320
Practice Address - Fax:501-663-4877
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOWEN HEFLEY RHODES STEWART ORTHOPEDICS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-04
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR152501742Medicaid