Individual provider Active NPI

Jessica Dawn Kessler, PT

  • Specialist
  • Bella Vista, AR
National Provider Identifier
1073705869
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 2795 Issued in AR
Practice address
9 Cunningham Cor
Bella Vista, AR 72714-3520
Phone
(479) 855-6814
NPI assigned
Aug 15, 2007
Last updated
Aug 15, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 2795 AR Primary

Addresses

Primary practice location

9 Cunningham Cor
Bella Vista, AR 72714-3520

Mailing address

1350 S Gutensohn Rd
Ste. # 10
Springdale, AR 72762-5117
Phone (479) 751-7122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000053 AR Practitioner - Physical Therapist in Private Practice 7113097627 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 2795ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill & Ironside LTD CurrentSince Aug 17, 2020 Accepting new patients
Northwest Arkansas Rehabilitation Associates Past Accepting new patients
A. Yumang Rehab Serivces, PA PastSince Feb 18, 2013 Accepting new patients
Trinity Rehabbilitation Inc Past Accepting new patients
Stephen a. Joseph, P.T. P.a. Past Accepting new patients
Trinity Rehabilitation Inc Specialist Past Accepting new patients

Locations

642 W Lancashire Blvd
Bella Vista, AR 72715
Phone (479) 876-6686

201 S 19th St
Ste S
Rogers, AR 72758
Phone (479) 631-3955

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1073705869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S GUTENSOHN RD",
            "address_2": "STE. # 10",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625117",
            "telephone_number": "479-751-7122",
            "fax_number": "479-751-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CUNNINGHAM COR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143520",
            "telephone_number": "479-855-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSLER",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "PT 2795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.