Individual provider Active NPI

Jessica Dill, PT, DPT

  • Physical Therapist
  • Lonsdale, AR
National Provider Identifier
1114354883
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 3708 Issued in AR
Practice address
24711 Highway 5
Lonsdale, AR 72087-9005
Phone
(501) 922-9933
Fax
(501) 922-9934
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 3708 AR Primary

Addresses

Primary practice location

24711 Highway 5
Lonsdale, AR 72087-9005

Mailing address

24711 Highway 5
Lonsdale, AR 72087-9005
Phone (501) 922-9933

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114001474 AR Practitioner - Physical Therapist in Private Practice 5294961595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 3708ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tomorrow'S Therapy CurrentSince Sep 28, 2013 Accepting new patients

Locations

24711 Highway 5
Lonsdale, AR 72087
Phone (501) 922-9933

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1114354883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24711 HIGHWAY 5",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879005",
            "telephone_number": "501-922-9933",
            "fax_number": "501-922-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24711 HIGHWAY 5",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879005",
            "telephone_number": "501-922-9933",
            "fax_number": "501-922-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonsdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.