Makesha Monique Jefferson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2331 Issued in AR

Practice address

7500 Dollarway Rd Ste 203
White Hall, AR 71602-3085

Phone

(870) 247-2099

Fax

(870) 619-1687

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Out of Knowhere PLLC

  • Occupational Therapist
  • White Hall, AR
  • NPI 1770899122
  NPD (past)

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1861007791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 DUNNING AVE",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717015401",
            "telephone_number": "870-818-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 203",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023085",
            "telephone_number": "870-247-2099",
            "fax_number": "870-619-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "MAKESHA",
        "middle_name": "MONIQUE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Hospital Association, Inc.
• Jefferson Hospital Association, Inc.
• Jefferson Regional Homecare, LLC
• Jefferson Regional Rehabilitation and Behavioral Hospital LLC
• Jefferson Regional Rehabilitation and Behavioral Hospital LLC
• Kentrel Johnson, LAC
• Windell Lamont Johnson Sr., FNP
• Carrie Jones, MHPP
• Doris Jones
• Laquilla Jones, LMSW

• Physical Therapy Assistant in White Hall, AR
• Providers in White Hall, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.