Active NPI
Laura Kathleen Jennings, PT
- Physical Therapist
- Little Rock, AR
National Provider Identifier
1144303694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT2385
- Practice address
- 6917 Geyer Springs Rd
Suite 1-S
Little Rock, AR 72209-2727 - Phone
- (501) 570-4004
- Fax
- (501) 570-4003
- NPI assigned
- Oct 20, 2006
- Last updated
- Sep 6, 2011
- 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 Therapist | 225100000X | PT2385 | AR | Primary |
Addresses
Primary practice location
6917 Geyer Springs Rd
Suite 1-S
Little Rock, AR 72209-2727
Mailing address
6917 Geyer Springs Rd
Suite 1-S
Little Rock, AR 72209-2727
Phone (501) 570-4004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142985721 | Medicaid | AR | |
| 5W757 | Other | AR | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT2385 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Pediatrics | Physical Therapist | Past | Accepting new patients |
| Hop Skip and Jump Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Little Rock, AR
- NPI 1083909295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1144303694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6917 GEYER SPRINGS RD",
"address_2": "SUITE 1-S",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722092727",
"telephone_number": "501-570-4004",
"fax_number": "501-570-4003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6917 GEYER SPRINGS RD",
"address_2": "SUITE 1-S",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722092727",
"telephone_number": "501-570-4004",
"fax_number": "501-570-4003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "LAURA",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT2385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142985721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5W757",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.