Individual provider Active NPI

Kevin A Hulett, DPT

  • Physical Therapist
  • Jonesboro, AR
National Provider Identifier
1003482951
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4938 Issued in AR
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

Updated by the provider on Feb 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250318003913 AR Practitioner - Physical Therapist in Private Practice 9335661461 Reassigns benefits to 1 organization

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
Snider Performance and SpineGroup PAC ID 5092075820, 2 clinicians

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

LicenseStateTypeSpecialty
4938ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Snider Performance & Spine CurrentSince May 20, 2025 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.

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.

Verify at the official NPI Registry.