Amy Michelle Parker, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 2103 Issued in AR

Practice address

3424 Oakmont Dr
Jonesboro, AR 72404-9502

Phone

(870) 243-3889

NPI assigned

Aug 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Burton Physical Therapy

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1598134413
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1013109362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SFC 130",
            "city": "PALESTINE",
            "state": "AR",
            "postal_code": "723729236",
            "telephone_number": "870-317-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 OAKMONT DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049502",
            "telephone_number": "870-243-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA 2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Marie Pardun, D.O.
• Aayushi Pareek, MD
• Mona Parikh, MD
• Fallon Harman Park
• James Douglas Park, D.C.
• Avril Alison Parker, CRNA
• Chasity Parker
• Heather Renee Parker, LPC
• Jo Parker, MHPP
• Latasha Parker

• Physical Therapy Assistant in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.