Russell Blake Jasper, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2988 Issued in AR

Practice address

210 N. Second Street
MC Gehee, AR 71654-2111

Phone

(870) 265-1074

NPI assigned

Oct 7, 2008

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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.

• Hands on Rehab Services, PLLC

  • Physical Therapist
  • McGehee, AR
  • NPI 1497138846
  Medicare reassignment NPD

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1700037835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716540183",
            "telephone_number": "870-265-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N. SECOND STREET",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716542111",
            "telephone_number": "870-265-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "RUSSELL",
        "middle_name": "BLAKE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201955721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5AU27",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Catherine Hunter, PHARMD
• Denise Nicole Husband
• J.M. Lally, DDS, LTD
• Stracy Jackson, CNA
• James L Kelley (Kelley Drug and Selections)
• Mary Anjeanette Johnson, RN
• Tammy R Johnson
• Gwendolyn Faye Jones, RN
• Coretta Jordan, CNA
• Carolyn F. Kilgore, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.