NPIMap

Organization Active NPI

Jordan Physical Therapy Center LLC

Doing business as Hot Springs Sports Medicine

  • Physical Therapist
  • Hot Springs, AR
National Provider Identifier
1083681530
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JORDAN PHYSICAL THERAPY CENTER LLC
Doing business as
Hot Springs Sports Medicine
Practice address
2278 Albert Pike Road
Suite B
Hot Springs, AR 71913-4157
Phone
(501) 767-0808
Fax
(501) 767-0832
NPI assigned
Mar 3, 2006
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Heather QuillenNPI 1891481610
Title
Billing Manager
Phone
(704) 824-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

2278 Albert Pike Road
Suite B
Hot Springs, AR 71913-4157

Mailing address

PO Box 749
Belmont, NC 28012-0749
Phone (704) 824-7800

Other practice location 1

2 Caddo Crossing Dr
Glenwood, AR 71943-8882
Phone (870) 356-4954

Other identifiers 3

IdentifierTypeStateIssuer
50-109OtherARAR BCBS
156148742MedicaidAR
50109OtherARBCBS

Other names 2

  • Hot Springs Sports Medicine Doing business as
  • Jordan Physical Therapy Center INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030514000013 AR Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7113837741 Practice locations: Glenwood, AR; Hot Springs, AR

National Provider Directory

National Provider Directory
Tax ID family
Jordan Physical Therapy Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1083681530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280120749",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 ALBERT PIKE ROAD",
            "address_2": "SUITE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134157",
            "telephone_number": "501-767-0808",
            "fax_number": "501-767-0832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Caddo Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Glenwood",
            "state": "AR",
            "postal_code": "719438882",
            "country_code": "US",
            "telephone_number": "870-356-4954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JORDAN PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "QUILLEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "704-824-7800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "50-109",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156148742",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50109",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hot Springs Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hot Springs Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jordan Physical Therapy Center INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.