Terry Womble, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2719 Issued in AR

Practice address

1007 Windover Rd Ste a
Jonesboro, AR 72401-6009

Phone

(870) 934-5725

NPI assigned

Sep 21, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Northeast Arkansas Clinic, PA

  • Multi-Specialty Clinic/Center
  • Jonesboro, AR
  • NPI 1376517177
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1710086244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WINDOVER RD STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016009",
            "telephone_number": "870-934-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 WINDOVER RD STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016009",
            "telephone_number": "870-934-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "TERRY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE BOARD PT LICENSE",
            "identifier": "PT2719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Thomas Woloszyn, M.D.
• Arthur Wolover, CRNA
• Kaitlynd Wolven
• Bill G Womack Jr., OCCUPATIONAL THERAPY
• Victoria Womack, OTD
• Womens Wellness Center of Northeast Arkansas, LTD.
• Charis Won
• Wondercare LLC
• Candace Wong
• Wood Primary Care Clinic PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.