Jon Daniel Arzadon, PT
Individual provider Active NPI Physical Therapist · Corsicana, TX
NPI 1609411008 · NPPES record last updated Nov 10, 2019
Key facts
- NPI
- 1609411008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1268589 (TX)
- Practice address
- 1300 N 45TH St Apt 1424
Corsicana, TX 75110-1733 - Phone
- (903) 257-4745
- NPI assigned
- Nov 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1268589 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1268589 | TX | Yes |
Addresses
Primary practice location
1300 N 45TH St Apt 1424
Corsicana, TX 75110-1733
Mailing address
1300 N 45TH St Apt 1424
Corsicana, TX 75110-1733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Other providers in Corsicana, TX
- Brian Robert Andersen
- Jerry Ronald Anderson
- Angels at Home, Inc.
- Apollocare1 LLC
- Jessica Armstrong
- Kelsey Austin-Wright
- Kendall Bailes
- Kayla Bailey
- Lydia Bailey
- Theodore M Banach
All providers in Corsicana, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.