Natural State Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NATURAL STATE PHYSICAL THERAPY PLLC

Practice address

1809 E Parker Rd Ste D
Jonesboro, AR 72404-7854

Phone

(870) 243-5479

NPI assigned

Jan 27, 2025

Organization subpart

No

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

Authorized official

Name

Stephen Moore, PT, DPTNPI 1023820990

Title

Owner/Operator

Phone

(870) 243-5479

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Moore, PT, DPT

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1023820990
  Medicare reassignment NPD Authorized official
• Joseph Blake Rogers, PTA

  • Physical Therapy Assistant
  • Jonesboro, AR
  • NPI 1013729045
  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738972800000",
    "number": "1356154124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 COUNTY ROAD 428",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048217",
            "telephone_number": "870-243-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 E PARKER RD STE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047854",
            "telephone_number": "870-243-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL STATE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "870-243-5479",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda M Nash, LCSW
• Mary Nassar, MHPP
• Arielle Nast
• Deseanta Nathan-Jordon
• Natural State Mental Health and Integrative Medicine, PLLC
• NC Counseling Services, PLLC
• Utibe John Ndebbio, MBBCH
• NE Arkansas Otolaryngology Facial Surgery P a
• Nea Children'S Therapy Services
• Nea Clinic Imaging Center

• Physical Therapy Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.