Thornton, Matthew Wade
Thornton, Matthew Wade is an individual health care provider with primary practice located at 5220 Northshore Dr , North Little Rock AR 72118-5297. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Thornton, Matthew Wade can be contacted via phone (501) 663-4320.Contact Information
Primary practice address
5220 Northshore Dr
North Little Rock AR 72118-5297
Phone: (501) 663-4320
Fax: (501) 978-1452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT2194 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT2194 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT2194 | Arkansas |
Profile Details
| NPI number | 1457316572 |
|---|---|
| LBN Legal business name | Thornton, Matthew Wade |
| Credentials | MSPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | May 30th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457316572 | NPPES |
| Arkansas | MEDICAID | 152427721 |
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