Gillis E Jones, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4253 Issued in AR

Practice address

3561 Johnson Mill Blvd
Fayetteville, AR 72704-5026

Phone

(479) 404-4530

Fax

(479) 404-4525

NPI assigned

Sep 11, 2020

Last updated

Sep 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Washington Regional Medical System

  dba Northwest Arkansas Neuroscience Institute

  • Neurological Surgery Physician
  • Fayetteville, AR
  • NPI 1104097500
  NPD
• Washington Regional Medical System

  dba WR Ozark Urology

  • Urology Physician
  • Fayetteville, AR
  • NPI 1205073657
  NPD
• Washington Regional Medical System

  dba Washington Regional Family Clinic - Farmington

  • Family Medicine Physician
  • Farmington, AR
  • NPI 1275839011
  NPD
• Washington Regional Medical System

  dba Washington Regional Family Clinic - Springdale

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1326376419
  NPD
• Washington Regional Medical System

  dba Northwest Arkansas Neurosurgery Clinic - Washington Regional

  • Neurological Surgery Physician
  • Fayetteville, AR
  • NPI 1851754345
  NPD (past)

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1295340727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 JOHNSON MILL BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045026",
            "telephone_number": "479-404-4530",
            "fax_number": "479-404-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 JOHNSON MILL BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045026",
            "telephone_number": "479-404-4530",
            "fax_number": "479-404-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GILLIS",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Graham Jones, HIS
• Clancy Dee Jones, MD
• D'Andre Jones, LMSW
• Dylan Jones, PHARM.D.
• Ferne Ryder Jones, FNP
• Hunter Jones
• James Brandon Jones Jr., DDS
• Jason K Jones, M.D.
• Katherine Ann Jones
• Kiara Jones

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.