NPIMap

Organization Active NPI

Tracy Jones Physical Therapy Services, P.a.

  • Physical Therapy Clinic/Center
  • Jonesboro, AR
National Provider Identifier
1346473139
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT 2023 Issued in AR
Legal business name
TRACY JONES PHYSICAL THERAPY SERVICES, P.A.
Practice address
1107 E Matthews Ave
Suite 100
Jonesboro, AR 72401-4315
Phone
(870) 933-6393
Fax
(870) 933-6763
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Mrs. Tracy Rene Jones, MSPTNPI 1225185002
Title
Physical Therapist/Owner
Phone
(870) 933-6393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT 2023 AR Primary

Addresses

Primary practice location

1107 E Matthews Ave
Suite 100
Jonesboro, AR 72401-4315

Mailing address

1107 E Matthews Ave
Suite 100
Jonesboro, AR 72401-4315
Phone (870) 933-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090902000398 AR Part B Supplier - Clinic/Group Practice 2860547502 Receives reassigned benefits from 7 practitioners
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

1107 E Matthews Ave
Ste 100
Jonesboro, AR 72401
Phone (870) 933-6393

4210 S Caraway Rd
Jonesboro, AR 72404
Phone (870) 974-9700

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1346473139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE",
            "address_2": "SUITE 100",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "870-933-6393",
            "fax_number": "870-933-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E MATTHEWS AVE",
            "address_2": "SUITE 100",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014315",
            "telephone_number": "870-933-6393",
            "fax_number": "870-933-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY JONES PHYSICAL THERAPY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "870-933-6393",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT 2023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.