NPIMap

Organization Active NPI

Jacksonville Physical Therapy

  • Physical Therapy Clinic/Center
  • Jacksonville, AR
National Provider Identifier
1205937745
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
727 Issued in AR
Legal business name
JACKSONVILLE PHYSICAL THERAPY
Practice address
208 John Harden Dr
Jacksonville, AR 72076-3775
Phone
(501) 982-9511
Fax
(501) 982-9512
NPI assigned
Sep 26, 2006
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Prof. Harry Morton, PHYSICAL THERAPISTNPI 1124115480
Title
President
Phone
(501) 982-9511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 727 AR Primary

Addresses

Primary practice location

208 John Harden Dr
Jacksonville, AR 72076-3775

Mailing address

208 John Harden Dr
Jacksonville, AR 72076-3775
Phone (501) 982-9511

National Provider Directory

National Provider Directory

Locations

208 John Harden Dr
Jacksonville, AR 72076
Phone (501) 982-9511

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1205937745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 JOHN HARDEN DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763775",
            "telephone_number": "501-982-9511",
            "fax_number": "501-982-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 JOHN HARDEN DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763775",
            "telephone_number": "501-982-9511",
            "fax_number": "501-982-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-982-9511",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.