Provider Demographics
NPI:1982665857
Name:VILLAGE THERAPY, INC.
Entity type:Organization
Organization Name:VILLAGE THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:KEVEN
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS,PT
Authorized Official - Phone:501-984-6777
Mailing Address - Street 1:PO BOX 8786
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71910-8786
Mailing Address - Country:US
Mailing Address - Phone:501-984-6777
Mailing Address - Fax:501-984-6778
Practice Address - Street 1:4656 N HIGHWAY 7
Practice Address - Street 2:SUITE M
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-9483
Practice Address - Country:US
Practice Address - Phone:501-984-6777
Practice Address - Fax:501-984-6778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-30
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT2041225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5U151Medicare PIN