Jimmy Jacob Carter, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5861 Issued in AR

Practice address

2905 S Walton Blvd Ste 5
Bentonville, AR 72712-7848

Phone

(479) 717-1102

NPI assigned

Jul 30, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jake Carter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rise Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1104319433
  NPD (past)
• Rise Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1851743009

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1386567261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034796",
            "telephone_number": "479-595-0711",
            "fax_number": "479-239-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 S WALTON BLVD STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127848",
            "telephone_number": "479-717-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5104 S Pinnacle Hills Pkwy Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727586076",
            "country_code": "US",
            "telephone_number": "479-337-7345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JIMMY",
        "middle_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "CARTER",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Corri D Carpenter
• Sean Carpenter
• Stephanie Carpenter, MS, OTR/L
• Christian Mark Carreira
• Christopher B Carter, M.D.
• Merkeycia Carter
• Casey Eye Care, Inc.
• Roxy Cassel, MHPP
• Bianca Castaneda, MHPP
• Darcy Casteel

• Physical Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.