Nicholas Dobbs, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4096 Issued in AR

Practice address

68 Stonewall Dr
Jacksonville, AR 72076-3438

Phone

(501) 831-0006

NPI assigned

Nov 19, 2015

Last updated

Nov 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Active Rehab, IncGroup PAC ID 2668482340, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pro Active Rehab, Inc

  • Physical Therapist
  • Benton, AR
  • NPI 1215021159
  Medicare reassignment Care Compare group NPD
• Malvern Physical Therapy and Wellness

  • Physical Therapist
  • Malvern, AR
  • NPI 1427349257
  NPD

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1649644287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 STONEWALL DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763438",
            "telephone_number": "501-831-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 STONEWALL DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763438",
            "telephone_number": "501-831-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBS",
        "first_name": "NICHOLAS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Dillard
• Timothy A Diller, M.D.
• Eric Dillinger, LPC
• Michael Dillon, LPC
• Cassidi Loraine Dion
• Doctors Hearing Center LLC II (Doctors Testing Center LLC II)
• Doctors Hearing Center LLC II
• Doctors Testing Center LLC II
• Ann Marie Donovan, BCBA, MSC
• Monte Douglas, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.