NPIMap

Organization Active NPI

J5 Therapy, Inc.

  • Multi-Specialty Clinic/Center
  • Bryant, AR
National Provider Identifier
1730530817
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
J5 THERAPY, INC.
Practice address
2700 N Prickett Rd
Suite 2B
Bryant, AR 72022-7503
Phone
(501) 213-0594
Fax
(844) 272-0941
NPI assigned
Jun 29, 2016
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Mrs. Jennifer Marks, MSCCC-SLP
Title
Co-Owner
Phone
(501) 247-8366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14079625 AR
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

2700 N Prickett Rd
Suite 2B
Bryant, AR 72022-7503

Mailing address

PO Box 1419
Alexander, AR 72002-3419
Phone (501) 213-0594

Other identifiers 1

IdentifierTypeStateIssuer
215977742MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://onedrive.live.com/about/en-us/signin/

National Provider Directory

National Provider Directory
Tax ID family
J5 Therapy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2700 N Prickett Rd
Ste 2B
Bryant, AR 72022
Phone (501) 213-0594

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1730530817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1419",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720023419",
            "telephone_number": "501-213-0594",
            "fax_number": "844-272-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N PRICKETT RD",
            "address_2": "SUITE 2B",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227503",
            "telephone_number": "501-213-0594",
            "fax_number": "844-272-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J5 THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "501-247-8366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSCCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "14079625",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215977742",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://onedrive.live.com/about/en-us/signin/",
            "affiliation": "N",
            "endpointDescription": "Microsoft OneDrive",
            "address_1": "2700 N Prickett Rd",
            "address_2": "Suite 2B",
            "city": "Bryant",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720227503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.