Active NPI
Kevin A Hulett, DPT
- Physical Therapist
- Jonesboro, AR
National Provider Identifier
1003482951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4938
- Practice address
- 3445 Village Meadow Dr
Jonesboro, AR 72405-3779 - Phone
- (870) 503-5957
- NPI assigned
- Jun 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4938 | AR | Primary |
Addresses
Primary practice location
3445 Village Meadow Dr
Jonesboro, AR 72405-3779
Mailing address
3445 Village Meadow Dr
Jonesboro, AR 72405-3779
Phone (870) 503-5957
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1922 E Matthews Ave
Jonesboro, AR 72401-4349
Phone (870) 520-5002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4938 | AR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snider Performance & Spine | Current | Accepting new patients |
Locations
1922 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 219-6249
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Jonesboro, AR
- NPI 1396253985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738368000000",
"number": "1003482951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 VILLAGE MEADOW DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724053779",
"telephone_number": "870-503-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 VILLAGE MEADOW DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724053779",
"telephone_number": "870-503-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULETT",
"first_name": "KEVIN",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-01",
"last_updated": "2025-02-01",
"certification_date": "2025-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.