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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Prof. Harry Morton, PHYSICAL THERAPIST
Title
President
Phone
(501) 982-9511

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
56082OtherARARBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2013.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARBCBS",
            "identifier": "56082",
            "state": "AR"
        }
    ],
    "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.