OrganizationActive
Industrial and Sports Rehab LLC
NPI 1356646632 · Physical Medicine & Rehabilitation Physician · Lowell, AR
Provider details
- NPI number
- 1356646632
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angelila Bejerano, Administrative Officer(870) 704-9800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
212 S Lincoln St
Ste D
Lowell, AR 72745-9782
Phone: (870) 704-9800
Street-level locationGet directions
Mailing address
Po Box 861
Harrison, AR 72602-0861
Registry dates
- Enumerated
- 2011-01-19
- Last updated
- 2011-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.