Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Draper, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1356092852

Destiny Draper, PTA is a Physical Medicine & Rehabilitation Physician in Bentonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2022.

Licensed in
AR
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

201 SW 14th St Ste 205
Bentonville, AR 72712-7771
Phone: (419) 294-2465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 4695 (AR)

Record details

NPI number1356092852
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 16, 2022
Last updated in NPPESJanuary 16, 2022
Certification dateJanuary 15, 2022
Mailing address718 S 24th St, Rogers, AR 72758-4053

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