Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Physical Medicine & Rehabilitation Associates of NW Ar PA

Organization Rehabilitation Practitioner · NPI 1174777874

Physical Medicine & Rehabilitation Associates of NW Ar PA provides Rehabilitation Practitioner services in Rogers, Arkansas. Licensed in Arkansas. Registered with an NPI since 2008.

Licensed in
AR
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2054 S 54th St
Rogers, AR 72758-8196 Not confirmed with CMS for 11 years — call before visiting
Phone: (479) 246-9002
Fax: (479) 246-9005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence MC-1930 (AR)

Record details

NPI number1174777874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Borian Matinchev — President · (479) 246-9002
NPI enumeratedNovember 7, 2008
Last updated in NPPESApril 10, 2015
Mailing address2054 S 54th St, Rogers, AR 72758-8196