Individual provider Active NPI

Jon Steven Scroggin, PT

  • Physical Therapist
  • Rogers, AR
National Provider Identifier
1801036504
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 2516 Issued in AR
Practice address
1101 Horsebarn Rd
Rogers, AR 72758-8237
Phone
(479) 271-4170
NPI assigned
Feb 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 2516 AR Primary

Addresses

Primary practice location

1101 Horsebarn Rd
Rogers, AR 72758-8237

Mailing address

1101 Horsebarn Rd
Rogers, AR 72758-8237
Phone (479) 271-4170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000249 AR Practitioner - Physical Therapist in Private Practice 0345399184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris and Renshaw Rehab Center IncGroup PAC ID 1557496205, 19 clinicians

Practice addresses (Care Compare)

4801 Fairway Ave
North Little Rock, AR 72116-8009
Phone (501) 758-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 2516ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris & Renshaw Rehab Center, Inc. Physical Therapist CurrentSince Sep 29, 2025 Accepting new patients
Arkansas Health & Rehab LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
Ozark Orthopaedics, P.a. Past Accepting new patients

Locations

1515 N Center St
Ste 5
Lonoke, AR 72086
Phone (501) 676-5540

4801 Fairway Ave
North Little Rock, AR 72116
Phone (501) 687-0328

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1801036504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588237",
            "telephone_number": "479-271-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588237",
            "telephone_number": "479-271-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROGGIN",
        "first_name": "JON",
        "middle_name": "STEVEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.