Derek Jones

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3745 Issued in AR

Practice address

1975 White Dr
Batesville, AR 72501-9391

Phone

(870) 689-1853

NPI assigned

Jan 27, 2016

Last updated

Jan 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Connected Health Therapies LLC

  • Physical Therapist
  • Cushman, AR
  • NPI 1386400547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1740647379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 E PINE ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014541",
            "telephone_number": "870-307-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 WHITE DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019391",
            "telephone_number": "870-689-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "3745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeice Lynn Johnson, LPC
• Marshal L Johnson
• Rachel Jeannette Johnson
• Valerie Johnston
• Brandy Jones, MHPP
• Edward J Jones, M.D. P.A.
• Karen Sibley Jones, PHARM.D.
• Kelly Eileen Jones, MHPP
• Danica Brook Joplin, APRN
• Jordan Weaver, M.D.,PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.