Shelby Jones

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4507 Issued in AR

Practice address

714 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 863-8194

NPI assigned

Feb 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1124650577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-8194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "714 W Grove St",
            "address_purpose": "LOCATION",
            "city": "El Dorado",
            "state": "AR",
            "postal_code": "717304416",
            "country_code": "US",
            "telephone_number": "870-863-8194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251C00000X",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Shelby.jones@sadccf.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "714 W Grove St",
            "city": "El Dorado",
            "state": "AR",
            "country_code": "US",
            "postal_code": "717304416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James D Johnson, DC
• Lakesha L Johnson
• Tanya D. Johnson, P.T.
• William Keith Joiner, OTR/L
• Kelsey Newton Jones, LAC
• Steve A Jones, MD PA
• Tara Renee Jones, CARE PROVIDER
• Donala Kale Jordan
• Diana T. Jucas, M.D.
• Benjamin J. Jumper, MD

• Physical Therapy Assistant in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.