Active NPI
Jennifer Diane Usrey, MSPT
- Physical Therapist
- Harrison, AR
National Provider Identifier
1619976420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1784
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142714721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT1784 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Physical Therapy Center, PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Harrison, AR
- NPI 1912339771
AR, Physical Therapist
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.