Chamblee Bentley Witherspoon, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2766 Issued in AR

Practice address

1217 Layman Dr
Jonesboro, AR 72404-9143

Phone

(870) 636-7571

Fax

(870) 934-1270

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Therapy Solutions LLC

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1174966469
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1235202060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 LAYMAN DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049143",
            "telephone_number": "870-636-7571",
            "fax_number": "870-934-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 LAYMAN DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049143",
            "telephone_number": "870-636-7571",
            "fax_number": "870-934-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "CHAMBLEE",
        "middle_name": "BENTLEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154576721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wise Mind Counseling PLLC
• Wise Mind Therapy LLC
• Jennifer Wiseman
• Kristy M Witcher, LPN
• Michael Witcher, SLP
• Frank Witowski
• Marsha Witt, MA
• Alexa Caroline Wofford, RBT
• Jill Rae Wolf, PHARMD
• Amber Wolfe

• 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 Dec 30, 2016; 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.