Jennifer Lynn Brown, PTA
Individual provider Active NPI Physical Therapy Assistant · Fordyce, AR
NPI 1740413384 · NPPES record last updated Aug 31, 2009
Key facts
- NPI
- 1740413384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2265 (AR)
- Practice address
- 1717 Industrial Dr
Fordyce, AR 71742-7104 - Phone
- (870) 352-7975
- Fax
- (870) 352-8163
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2265 | AR | Yes |
Addresses
Primary practice location
1717 Industrial Dr
Fordyce, AR 71742-7104
Mailing address
200 Brewster St
Fordyce, AR 71742-2802
Phone (870) 884-0018
Other providers in Fordyce, AR
- Cherie Ann Bonanno
- Kristen F Boren
- Leslie Brandon
- Barry Bray
- Donald Todd Brown
- Stacey Brunson
- Daniel Nathan Bryant
- Jenna Bryant
- Tavante Calhoun
- Amber Callaway
All providers in Fordyce, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.