Individual provider Active NPI

Jasmine Marie Sanders, PT

  • Physical Therapist
  • Bentonville, AR
National Provider Identifier
1225593908
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5608 Issued in AR
Practice address
2905 S Walton Blvd Ste 5
Bentonville, AR 72712-7848
Phone
(479) 717-1102
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5608 AR Primary
Orthopedic Physical Therapist 2251X0800X 1315351 TX

Addresses

Primary practice location

2905 S Walton Blvd Ste 5
Bentonville, AR 72712-7848

Mailing address

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone (479) 595-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy, Inc. Physical Therapist CurrentSince Jun 11, 2026 Accepting new patients
Bir JV LLP PastSince Dec 18, 2022 Accepting new patients
Rise Physical Therapy, Inc. PastSince Jun 11, 2026 Accepting new patients
Memorial Hermann Health System PastSince Aug 1, 2020 Accepting new patients

Locations

2905 S Walton Blvd
Ste 5
Bentonville, AR 72712
Phone (479) 595-8667

2668 E Citizens Dr
Ste 5
Fayetteville, AR 72703
Phone (479) 442-7473

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1225593908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034796",
            "telephone_number": "479-595-0711",
            "fax_number": "479-239-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S WALTON BLVD STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127848",
            "telephone_number": "479-717-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5608",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1315351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.