Active NPI
Kristin Marie Jones, PTA
- Physical Therapy Assistant
- Springdale, AR
National Provider Identifier
1104306000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4385
- Practice address
- 6815 Isaacs Orchard Rd Ste D
Springdale, AR 72762-6285 - Phone
- (479) 856-6400
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- 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 Therapy Assistant | 225200000X | 4385 | AR | Primary |
Addresses
Primary practice location
6815 Isaacs Orchard Rd Ste D
Springdale, AR 72762-6285
Mailing address
20251 Dawn Hill East Rd
Gentry, AR 72734-9380
Phone (479) 595-2684
Other practice location 1
1409 Highway 62 65 N Ste 4
Harrison, AR 72601-1970
Phone (870) 704-4076
Other names 1
- Kristin Marie Showalter
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4385 | AR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1104306000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20251 DAWN HILL EAST RD",
"city": "GENTRY",
"state": "AR",
"postal_code": "727349380",
"telephone_number": "479-595-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 ISAACS ORCHARD RD STE D",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626285",
"telephone_number": "479-856-6400"
}
],
"practiceLocations": [
{
"address_1": "1409 Highway 62 65 N Ste 4",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "AR",
"postal_code": "726011970",
"country_code": "US",
"telephone_number": "870-704-4076",
"fax_number": "870-741-0089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "KRISTIN",
"middle_name": "MARIE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "4385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "SHOWALTER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.