Jennifer A Birdsong

Individual provider Active NPI Physical Therapist · Harrison, AR

NPI 1306351192 · NPPES record last updated Oct 2, 2024

Key facts

NPI
1306351192
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
916 Goblin Dr
Harrison, AR 72601-8885
Phone
(870) 654-3869
NPI assigned
Dec 3, 2017
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Acquisitions Corp-Cypdc Past Accepting new patients
Therapy Services of Northwest Arkansas, LLC Physical Therapist Past
since May 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

916 Goblin Dr
Harrison, AR 72601-8885

Mailing address

2121 Marion County 4026
Everton, AR 72633-9646
Phone (816) 261-4227

Other providers in Harrison, AR

All providers in Harrison, AR · Physical Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.