Jordan Ramm, PTA
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Jonesboro, AR
NPI 1003375429 · NPPES record last updated Mar 15, 2019
Key facts
- NPI
- 1003375429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- PTA-4127 (AR)
- Practice address
- 1705 Latourette LN
Jonesboro, AR 72404-0797 - Phone
- (870) 935-7550
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-4127 | AR | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA-4127 | AR | Yes |
Addresses
Primary practice location
1705 Latourette LN
Jonesboro, AR 72404-0797
Mailing address
342 County Road 464
Jonesboro, AR 72404-7585
Phone (870) 318-5777
Other providers in Jonesboro, AR
- Raising the Standards of Care LLC
- Melissa Raja
- Iliriana Ramadani
- Corina Ramirez
- Meagan Ramirez
- Amanda Ramsey
- Christopher Jacob Ramsey
- Jeffrey W Ramsey
- Barbara Clements Rand
- Randy D Roberts MD PA
All providers in Jonesboro, AR · Physical Medicine & Rehabilitation Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.