Active NPI
Josh Roberts
- Physical Therapist
- Jonesboro, AR
National Provider Identifier
1053936310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3126
- Practice address
- 1010 South Main St
Jonesboro, AR 72401 - Phone
- (870) 932-1820
- NPI assigned
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
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 | PT3126 | AR | Primary |
Addresses
Primary practice location
1010 South Main St
Jonesboro, AR 72401
Mailing address
PO Box 1533
Jonesboro, AR 72403-1533
Phone (870) 932-1820
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | WWW.JONESBOROORTHO.COM | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200707000050 | AR | Practitioner - Physical Therapist in Private Practice | 1658794821 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dickson Orthopedics PA
Practice addresses (Care Compare)
1010 S Main St
Jonesboro, AR 72401-4362
Phone (870) 932-1820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3126 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Orthopedics, PA | Current | Accepting new patients | |
| Dickson Orthopedics, P.a. | Current | Accepting new patients | |
| Spencer H. Guinn, M.D. P.a. | Past | Accepting new patients |
Locations
1010 S Main St
Jonesboro, AR 72401
Phone (870) 932-1820
1416 E Matthews Ave
Ste 200
Jonesboro, AR 72401
Phone (870) 932-1820
Organizations & group practices 3
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.
-
- Surgical Physician Assistant
- Jonesboro, AR
- NPI 1033650817
-
- Orthopaedic Surgery Physician
- Jonesboro, AR
- NPI 1003881855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1053936310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1533",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724031533",
"telephone_number": "870-932-1820",
"fax_number": "870-972-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 SOUTH MAIN ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-932-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "JOSH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-12",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3126",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "WWW.JONESBOROORTHO.COM",
"affiliation": "N",
"endpointDescription": "WEBSITE",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "WEBSITE",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "1010 South Main St",
"city": "Jonesboro",
"state": "AR",
"country_code": "US",
"postal_code": "72401",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 12, 2020; 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.