Joseph Bryan Southerland, PHD, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3120 Issued in AR

Practice address

334 SFC 308
Forrest City, AR 72335-7398

Phone

(870) 270-7954

NPI assigned

Jan 26, 2009

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy, PLLC

  • Physical Therapist
  • Forrest City, AR
  • NPI 1225341860
  Authorized official Same address or phone
• Kids for the Future of Forrest City, Inc.

  • Early Intervention Provider Agency
  • Forrest City, AR
  • NPI 1043530017

  Physical Therapist

  NPD (past)
• Kids for the Future of Marianna, Inc.

  • Early Intervention Provider Agency
  • Marianna, AR
  • NPI 1285954339
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1902044126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1483",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723361483",
            "telephone_number": "870-270-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SFC 308",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357398",
            "telephone_number": "870-270-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "JOSEPH",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PHD, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshella Smith
• Sara Smith
• Tevin Smith, MHPP
• Windie Faye Smith
• Laeartha Ishstara Soko, LPC
• Rhonda Sparks, RN
• Genie Spencer
• Michelle Spencer, RN
• St Francis Emergency Group LLC
• William Thomas St John, DDS

• Physical Therapist in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.