SAMUEL COLE CHAFFIN, MSPT - NPI NUMBER 1568583755

Summary

Provider Name: SAMUEL COLE CHAFFIN, MSPT

NPI Number: 1568583755

Clasification: Physical Therapist (225100000X)

Address:
2801 S OLIVE ST
SUITE 9D
PINE BLUFF, AR
ZIP 71603

Phone Number: (870) 541-0003



Detailed Information

Samuel Cole Chaffin, MSPT is a physical therapist in Pine Bluff, AR. The provider is (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT�s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient�s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. The assigned NPI number for this provider is 1568583755 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

2801 S OLIVE ST
SUITE 9D
PINE BLUFF, AR
ZIP 71603-433
Phone: (870) 541-0003
Fax: (870) 541-0008

The enumeration date for this NPI number is 4/3/2007 and was last updated on 12/11/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 225100000X Physical Therapist 1583 AR Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 130070721 MEDICAID AR
2 5T405 OTHER AR BLUE CROSS BLUE SHIELD

NPI Record

No. Field Name Field Value
1 NPI 1568583755
2 Entity Type Code 1
3 Provider Last Name Legal Name CHAFFIN
4 Provider First Name SAMUEL
5 Provider Middle Name COLE
6 Provider Credential Text MSPT
7 Provider First Line Business Practice Location Address 2801 S OLIVE ST
8 Provider Second Line Business Practice Location Address SUITE 9D
9 Provider Business Practice Location Address City Name PINE BLUFF
10 Provider Business Practice Location Address State Name AR
11 Provider Business Practice Location Address Postal Code 716035433
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 8705410003
14 Provider Business Practice Location Address Fax Number 8705410008
15 Provider Enumeration Date 4/3/2007
16 Last Update Date 12/11/2012
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 225100000X
19 Provider License Number 1 1583
20 Provider License Number State Code 1 AR
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 130070721
23 Other Provider Identifier Type Code 1 05
24 Other Provider Identifier State 1 AR
25 Other Provider Identifier 2 5T405
26 Other Provider Identifier Type Code 2 01
27 Other Provider Identifier State 2 AR
28 Other Provider Identifier Issuer 2 BLUE CROSS BLUE SHIELD
29 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.