IndividualActive
Phillip Wyatt, RPT
NPI 1114291648 · Physical Therapist · Dover, AR
Provider details
- NPI number
- 1114291648
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT1789 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8952 Market St
Suite 7b
Dover, AR 72837-9110
Phone: (479) 331-3303
Street-level locationGet directions
Mailing address
310 Bayou Ridge Loop
Dover, AR 72837-8475
Registry dates
- Enumerated
- 2012-03-01
- Last updated
- 2012-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.