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

Ellen R Haverstick, PT

Individual provider Physical Therapist · NPI 1720029655

Ellen R Haverstick, PT is a Physical Therapist in Private Practice in Conway, Arkansas. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
26
Licensed in
AR
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1065 Clayton St Ste 9
Conway, AR 72032-4329
Phone: (501) 328-5878
Fax: (501) 336-0119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2484 (AR)

Record details

NPI number1720029655
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 10, 2006
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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