Individual provider Active NPI

Jason S Webb, PTA

  • Physical Therapy Assistant
  • West Memphis, AR
National Provider Identifier
1295996445
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA 2249 Issued in AR
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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 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

IdentifierTypeStateIssuer
175191721MedicaidAR

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

LicenseStateTypeSpecialty
PTA 2249ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fenter Physical Therapy Past Accepting new patients
Fenter Physical Therapy LLC PastSince Jul 20, 2015 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.

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.

Verify at the official NPI Registry.