Individual provider Active NPI

Cheryl Ann Jordan, PTA

  • Physical Therapy Assistant
  • Hot Springs, AR
National Provider Identifier
1295904688
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1848 Issued in AR
Practice address
1510 Lakeshore Dr
Hot Springs, AR 71913-6652
Phone
(501) 760-7440
Fax
(501) 760-7442
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1848 AR Primary

Addresses

Primary practice location

1510 Lakeshore Dr
Hot Springs, AR 71913-6652

Mailing address

1510 Lakeshore Dr
Hot Springs, AR 71913-6652
Phone (501) 760-7440

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1848ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs Comprehensive Therapy Services LLC Past Accepting new patients
Jordan Physical Therapy Center LLC Past Accepting new patients

Organizations & group practices 2

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1295904688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 LAKESHORE DR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136652",
            "telephone_number": "501-760-7440",
            "fax_number": "501-760-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 LAKESHORE DR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136652",
            "telephone_number": "501-760-7440",
            "fax_number": "501-760-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.