Active NPI
Jason S Webb, PTA
- Physical Therapy Assistant
- West Memphis, AR
National Provider Identifier
1295996445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 2249
- Practice address
- 101 Georgetown Dr
West Memphis, AR 72301-3805 - Phone
- (870) 739-8686
- Fax
- (870) 739-8656
- NPI assigned
- Jun 20, 2008
- Last updated
- Feb 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 2249 | AR | Primary |
Addresses
Primary practice location
101 Georgetown Dr
West Memphis, AR 72301-3805
Mailing address
101 Georgetown Dr
West Memphis, AR 72301-3805
Phone (870) 739-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175191721 | Medicaid | AR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 2249 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fenter Physical Therapy | Past | Accepting new patients | |
| Fenter Physical Therapy 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- West Memphis, AR
- NPI 1518384536
-
- Physical Therapist
- Marion, AR
- NPI 1992907067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234396800000",
"number": "1295996445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GEORGETOWN DR",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013805",
"telephone_number": "870-739-8686",
"fax_number": "870-739-8656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GEORGETOWN DR",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013805",
"telephone_number": "870-739-8686",
"fax_number": "870-739-8656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "JASON",
"middle_name": "S",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2009-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA 2249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "175191721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.