Individual provider Active NPI

Jessa Barendse, DPT

  • Physical Therapist
  • Fayetteville, AR
National Provider Identifier
1508626649
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5816 Issued in AR
Practice address
2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone
(479) 442-7473
Fax
(479) 239-5444
NPI assigned
Mar 19, 2024
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5816 AR Primary

Addresses

Primary practice location

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796

Mailing address

2668 E Citizens Dr Ste 5
Fayetteville, AR 72703-4796
Phone (479) 442-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TN, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240401002318 OR Practitioner - Physical Therapist in Private Practice 7810335551 Reassigns benefits to 1 organization
I20250812004279 TN Practitioner - Physical Therapist in Private Practice 7810335551 Reassigns benefits to 1 organization
I20260526001183 AR Practitioner - Physical Therapist in Private Practice 7810335551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rise Physical Therapy IncGroup PAC ID 9133400203, 35 clinicians
Total Balance Therapy PLLCGroup PAC ID 4688000748, 6 clinicians

Practice addresses (Care Compare)

2668 E Citizens Dr
Suite 5
Fayetteville, AR 72703-4796
Phone (479) 442-7473

56 S Main St
Crossville, TN 38555-4520
Phone (931) 787-1715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5816ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Total Balance Therapy, PLLC Physical Therapist CurrentSince May 29, 2025 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Rise Physical Therapy, Inc. Physical Therapist CurrentSince May 18, 2026 Accepting new patients
Rise Physical Therapy, Inc. PastSince May 18, 2026 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2668 E Citizens Dr
Ste 5
Fayetteville, AR 72703
Phone (479) 442-7473

3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

974 SW Veterans Way
Ste 4
Redmond, OR 97756
Phone (541) 504-2350

129 Walker Hill St
Crossville, TN 38555
Phone (931) 787-1712

56 S Main St
Crossville, TN 38555
Phone (440) 812-2853

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1508626649",
    "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": "479-442-7473",
            "fax_number": "479-239-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 E CITIZENS DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034796",
            "telephone_number": "479-442-7473",
            "fax_number": "479-239-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARENDSE",
        "first_name": "JESSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.