OrganizationActive
Advanced Physical Therapy, PLC
NPI 1164402962 · Physical Therapy Clinic/Center · Blytheville, AR
Provider details
- NPI number
- 1164402962
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jessica Hurst, Co-Owner(870) 762-5000
- License
- 2430 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1401 E Moultrie Dr
Blytheville, AR 72315-6822
Phone: (870) 762-5000
Fax: (870) 762-6688
Street-level locationGet directions
Mailing address
Po Box 746
Monette, AR 72447-0746
Registry dates
- Enumerated
- 2006-01-18
- Last updated
- 2011-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.