Northeast Arkansas Orthopaedic and Sports Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1330 Issued in AR

Legal business name

NORTHEAST ARKANSAS ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.

Practice address

2919 E Matthews Ave
Suite C
Jonesboro, AR 72401-4499

Phone

(870) 268-1400

Fax

(870) 268-1405

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith E. Thompson

Title

Onwer

Phone

(870) 268-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Luke E Thompson, PHYSICAL THERAPIST

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1609935972
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1437218658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 E MATTHEWS AVE",
            "address_2": "SUITE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014499",
            "telephone_number": "870-268-1400",
            "fax_number": "870-268-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 E MATTHEWS AVE",
            "address_2": "SUITE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014499",
            "telephone_number": "870-268-1400",
            "fax_number": "870-268-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ARKANSAS ORTHOPAEDIC AND SPORTS PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "870-268-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "5C671",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Arkansas Community Mental Health Center Inc
• Northeast Arkansas Community Mental Health Center Inc
• Northeast Arkansas Dentistry
• Northeast Arkansas Health System LLC
• Northeast Arkansas Omfs, PLLC
• Northeast Arkansas Pain Medicine
• Northeast Arkansas Treatment Service
• Northland Hearing Center Inc
• Northland Hearing Centers, Inc.
• Kara Elizabeth Norton, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.