NPIMap

Organization Active NPI

Rehabilitation Medicine Associates, P.a.

  • Physical Medicine & Rehabilitation Physician
  • Jonesboro, AR
National Provider Identifier
1073624185
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MC-1520 Issued in AR
Legal business name
REHABILITATION MEDICINE ASSOCIATES, P.A.
Practice address
1201 Fleming Avenue
Jonesboro, AR 72401-3144
Phone
(870) 934-1099
Fax
(870) 974-5953
NPI assigned
Aug 31, 2006
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Terence Patrick Braden III, D.O.
Title
President
Phone
(870) 934-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MC-1520 AR Primary

Addresses

Primary practice location

1201 Fleming Avenue
Jonesboro, AR 72401-3144

Mailing address

PO Box 717
Jonesboro, AR 72403-0717
Phone (870) 934-1099

Other identifiers 2

IdentifierTypeStateIssuer
MC-1520OtherARARKANSAS STATE LICENSE#
124731002MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1073624185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 717",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724030717",
            "telephone_number": "870-934-1099",
            "fax_number": "870-974-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FLEMING AVENUE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013144",
            "telephone_number": "870-934-1099",
            "fax_number": "870-974-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION MEDICINE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "BRADEN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-934-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "MC-1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE LICENSE#",
            "identifier": "MC-1520",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124731002",
            "state": "AR"
        }
    ],
    "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 Jul 29, 2014; 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.