Individual provider Active NPI

Jennifer Diane Usrey, MSPT

  • Physical Therapist
  • Harrison, AR
National Provider Identifier
1619976420
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1784 Issued in AR
Practice address
1420 Highway 62 65 N Ste a
Harrison, AR 72601-1959
Phone
(870) 743-4438
Fax
(870) 741-0736
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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 PT1784 AR Primary

Addresses

Primary practice location

1420 Highway 62 65 N Ste a
Harrison, AR 72601-1959

Mailing address

253 County Road 998
Alpena, AR 72611-9003
Phone (870) 743-4438

Other identifiers 1

IdentifierTypeStateIssuer
142714721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060724000251 AR Practitioner - Physical Therapist in Private Practice 5597778241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Physical Therapy Center, PLLC 4 clinicians

Practice addresses (Care Compare)

197 S Walmart Dr
Harrison, AR 72601-1987
Phone (870) 240-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT1784ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Physical Therapy Center, PLLC Physical Therapist CurrentSince Jun 21, 2024 Accepting new patients

Locations

197 S Walmart Dr
Harrison, AR 72601
Phone (870) 204-6070

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1619976420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 COUNTY ROAD 998",
            "city": "ALPENA",
            "state": "AR",
            "postal_code": "726119003",
            "telephone_number": "870-743-4438",
            "fax_number": "870-741-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 HIGHWAY 62 65 N STE A",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011959",
            "telephone_number": "870-743-4438",
            "fax_number": "870-741-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USREY",
        "first_name": "JENNIFER",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT1784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142714721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.