Exodus Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EXODUS PHYSICAL THERAPY

Practice address

1728 Westwood CV
Jonesboro, AR 72401-4793

Phone

(870) 219-9700

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Dartell Treadwell, DPTNPI 1245560606

Title

Ceo

Phone

(870) 219-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Exodus Rehab Doing business as

Practitioners 1

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

• Dartell Dante Treadwell, DPT

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1245560606
  NPD Authorized official

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1417428152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 WESTWOOD CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014793",
            "telephone_number": "870-219-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 WESTWOOD CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014793",
            "telephone_number": "870-219-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "TREADWELL",
        "authorized_official_first_name": "DARTELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-219-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245560606",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exodus Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwendolyn Everhart
• Fonda A Evins, APRN
• Wendy K Evins, AUD
• Deandra J Ewing
• Travis D Ewing, DO
• Extended Family Enterprises, Inc
• Eyemart Express LLC
• Eyemart Express LTD
• Jose Andres Fabre Quinones, MD
• Jamie F. Fain, CADC, LAC

• 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 Dec 6, 2018; 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.