Individual provider Active NPI

Jocelyn Ann Vargas, PT, DPT

  • Physical Therapist
  • Cabot, AR
National Provider Identifier
1154058865
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5132 Issued in AR
Practice address
2800 S 2ND St Ste B
Cabot, AR 72023-7030
Phone
(501) 286-6075
NPI assigned
Aug 3, 2022
Last updated
Aug 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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 5132 AR Primary

Addresses

Primary practice location

2800 S 2ND St Ste B
Cabot, AR 72023-7030

Mailing address

302 Miss Ellie LN
Abilene, TX 79602-8330
Phone (719) 233-2796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000758 AR Practitioner - Physical Therapist in Private Practice 1052832912 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5132ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Milestones Pediatric Therapy Services, LLC Physical Therapist CurrentSince Oct 13, 2024 Accepting new patients
Pathfinder, Inc. Past Accepting new patients

Locations

2800 S 2nd St
Ste B
Cabot, AR 72023
Phone (501) 286-6059

905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1154058865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MISS ELLIE LN",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796028330",
            "telephone_number": "719-233-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S 2ND ST STE B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237030",
            "telephone_number": "501-286-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "JOCELYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "5132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.