Therex Wellness and Rehabilitation

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3059 Issued in AR

Legal business name

THEREX WELLNESS AND REHABILITATION

Practice address

3704 S Caraway Rd
Suite 4
Jonesboro, AR 72404-0656

Phone

(870) 926-0271

NPI assigned

Jan 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dartell Dante Treadwell, DPT

Title

Owner

Phone

(870) 926-0271

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1215267679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 S CARAWAY RD",
            "address_2": "SUITE 4",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040656",
            "telephone_number": "870-926-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 S CARAWAY RD",
            "address_2": "SUITE 4",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040656",
            "telephone_number": "870-926-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEREX WELLNESS AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "TREADWELL",
        "authorized_official_first_name": "DARTELL",
        "authorized_official_middle_name": "DANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-926-0271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "3730146",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica B Thielemier
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• Patricia Louise Thielemier
• Rebecca Barrie Thielemier, CCC-SLP
• Alexus Thomas

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.