Individual provider Active NPI

Robert Dee Jordan, P.T.

  • Physical Therapist
  • Hot Springs, AR
National Provider Identifier
1902869613
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
960 Issued in AR
Practice address
1880 Airport Rd Ste C
Hot Springs, AR 71913-2117
Phone
(501) 781-2701
Fax
(501) 781-2702
NPI assigned
Apr 11, 2006
Last updated
Feb 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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 960 AR Primary

Addresses

Primary practice location

1880 Airport Rd Ste C
Hot Springs, AR 71913-2117

Mailing address

1880 Airport Rd Ste C
Hot Springs, AR 71913-2117
Phone (501) 781-2701

Other practice location 1

100 Hollywood Avenue
Hot Springs, AR 71901-7057
Phone (501) 321-9292

Other identifiers 3

IdentifierTypeStateIssuer
5S424OtherARBCBS
190173721MedicaidAR
1902869613OtherARNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120105000936 AR Practitioner - Physical Therapist in Private Practice 9931019569 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
960ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Effort Physical Therapy Inc CurrentSince Jul 11, 2018 Accepting new patients
Family Medicine Clinic, P.a. CurrentSince Oct 8, 2012 Accepting new patients

Locations

100 Hollywood Ave
Hot Springs National Park, AR 71901
Phone (501) 321-9292

1880 Airport Rd
Ste C
Hot Springs National Park, AR 71913
Phone (501) 538-4257

216 Garrison St
Ste D
Hot Springs National Park, AR 71913
Phone (501) 321-9292

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1902869613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 AIRPORT RD STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719132117",
            "telephone_number": "501-781-2701",
            "fax_number": "501-781-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AIRPORT RD STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719132117",
            "telephone_number": "501-781-2701",
            "fax_number": "501-781-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hollywood Avenue",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719017057",
            "country_code": "US",
            "telephone_number": "501-321-9292",
            "fax_number": "501-623-5541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ROBERT",
        "middle_name": "DEE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5S424",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190173721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902869613",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.