Individual provider Active NPI

Marcus Shawn Jones, MPT

  • Physical Therapist
  • Harrison, AR
National Provider Identifier
1679565857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 1987 Issued in AR
Practice address
1425 N Main St
Harrison, AR 72601-2214
Phone
(870) 741-4500
Fax
(870) 741-4507
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT 1987 AR Primary

Addresses

Primary practice location

1425 N Main St
Harrison, AR 72601-2214

Mailing address

1425 N Main St
Harrison, AR 72601-2214
Phone (870) 741-4500

Other identifiers 1

IdentifierTypeStateIssuer
5T946OtherARBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050321000776 AR Practitioner - Physical Therapist in Private Practice 4284686908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jones Physical Therapy PLCGroup PAC ID 3870545213, 7 clinicians

Practice addresses (Care Compare)

1425 N Main St
Harrison, AR 72601-2214
Phone (870) 741-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 1987ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Physical Therapy PLC Physical Therapist CurrentSince Jan 17, 2005 Accepting new patients

Locations

1425 N Main St
Harrison, AR 72601
Phone (870) 741-4500

309 Highway 62 W
Yellville, AR 72687
Phone (870) 741-4500

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679565857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012214",
            "telephone_number": "870-741-4500",
            "fax_number": "870-741-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012214",
            "telephone_number": "870-741-4500",
            "fax_number": "870-741-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARCUS",
        "middle_name": "SHAWN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 1987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5T946",
            "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 Jul 8, 2007; 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.