Individual provider · Type 1 NPI

Gary David Wilbanks, PTA

Physical Therapy Assistant · Russellville, AR

NPI number 1992636849 Active

Practice location

2100 W Main St
Russellville, AR 72801-2758

Call (479) 968-2525 Map

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA4315 (AR)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1992636849

Gary David Wilbanks, PTA's National Provider Identifier is 1992636849, issued on May 28, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Russellville, AR. The record was last updated on May 28, 2026.