Candice Rochelle Jefferson, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4870 Issued in AR

Practice address

132 Medical Cir Ste 300
Nashville, AR 71852-8609

Phone

(870) 845-8161

NPI assigned

Nov 3, 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 names 1

• Candice Rochelle Miller Professional name

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1194326587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MEDICAL CIR STE 300",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528609",
            "telephone_number": "870-845-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MEDICAL CIR STE 300",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528609",
            "telephone_number": "870-845-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "CANDICE",
        "middle_name": "ROCHELLE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "MILLER",
            "middle_name": "ROCHELLE",
            "credential": "PT,DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Inergy Health, LLC
• Morgan James
• Julianne Jamison
• Tori Janes
• Syed Ussama Javed, M.D
• Deanna Jefferson, RN
• Leslie Jennings, OTR
• Joe F. Chaney, Jr., OD
• Johnny L. Bowman
• Mackenzie Johns

• Physical Therapist in Nashville, AR
• Providers in Nashville, AR by specialty
• Physical Therapist in Arkansas

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