Organization Active NPI

Esb Rehab Services Inc.

  • Physical Therapist
  • Jonesboro, AR
National Provider Identifier
1376551325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1409 Issued in AR
Legal business name
ESB REHAB SERVICES INC.
Practice address
2701 S Caraway Rd
Suite B2
Jonesboro, AR 72401-7304
Phone
(870) 933-2055
Fax
(870) 910-0245
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ericson Sariego Bacsa, P.T.NPI 1538176268
Title
Physical Therapist/ Owner
Phone
(870) 933-2055

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT1409 AR Primary

Addresses

Primary practice location

2701 S Caraway Rd
Suite B2
Jonesboro, AR 72401-7304

Mailing address

2701 S Caraway Rd
Suite B2
Jonesboro, AR 72401-7304
Phone (870) 933-2055

Other identifiers 1

IdentifierTypeStateIssuer
5C641OtherARBC/BS

National Provider Directory

National Provider Directory
Tax ID family
Esb Rehab Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2701 S Caraway Rd
Ste B2
Jonesboro, AR 72401
Phone (870) 919-4097

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376551325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S CARAWAY RD",
            "address_2": "SUITE B2",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017304",
            "telephone_number": "870-933-2055",
            "fax_number": "870-910-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S CARAWAY RD",
            "address_2": "SUITE B2",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017304",
            "telephone_number": "870-933-2055",
            "fax_number": "870-910-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESB REHAB SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACSA",
        "authorized_official_first_name": "ERICSON",
        "authorized_official_middle_name": "SARIEGO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "870-933-2055",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "5C641",
            "state": "AR"
        }
    ],
    "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 22, 2020; 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.