Active NPI
Laura Jo Thomas, PTA
- Physical Therapy Assistant
- Bryant, AR
National Provider Identifier
1073613683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1456
- Practice address
- 2700 N Prickett Rd Ste 2B
Bryant, AR 72022-7511 - Phone
- (501) 213-0594
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 1456 | AR | Primary |
Addresses
Primary practice location
2700 N Prickett Rd Ste 2B
Bryant, AR 72022-7511
Mailing address
28 Chicot Dr
Maumelle, AR 72113-5801
Phone (501) 472-3008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138303721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J5 Therapy, Inc. | Current | Accepting new patients | |
| Behavior Bridges ABA LLC | Past | Accepting new patients | |
| J5 Therapy, Inc. | Past | Accepting new patients | |
| J5 Therapy, Inc. | Past | Accepting new patients |
Locations
2700 N Prickett Rd
Ste 2B
Bryant, AR 72022
Phone (501) 213-0594
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Bryant, AR
- NPI 1265314645
-
- Multi-Specialty Clinic/Center
- Bryant, AR
- NPI 1730530817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713744000000",
"number": "1073613683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 CHICOT DR",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721135801",
"telephone_number": "501-472-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 N PRICKETT RD STE 2B",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227511",
"telephone_number": "501-213-0594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "LAURA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "1456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138303721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.