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

Idumange T. Idumange, PT

Individual provider Physical Therapist · NPI 1083864649

Idumange T. Idumange, PT is a Physical Therapist in Private Practice in N Little Rock, Arkansas. Qualified in 1996, 30 years ago. Practices with Orthopedic Rehabilitation Centers LLC, a 10-clinician group. Licensed in Arkansas.

Years since qualifying
30
Licensed in
AR
In the registry since
2008
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

505 W Pershing Blvd Ste D
N Little Rock, AR 72114-2157
Phone: (501) 812-4970
Fax: (501) 812-4972
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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 PT1965 (AR)

Record details

NPI number1083864649
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 19, 2008
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Orthopedic Rehabilitation Centers Llc — 10 clinicians
Accepts Medicare assignment Not indicated

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