Active NPI
Joshua Burson, P.T.A.
- Physical Therapy Assistant
- Little Rock, AR
National Provider Identifier
1912246836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2395
- Practice address
- 501 Jack Stephens Dr # 626
Little Rock, AR 72205-5551 - Phone
- (501) 526-2225
- NPI assigned
- Feb 13, 2013
- Last updated
- Feb 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2395 | AR | Primary |
| Physical Therapy Assistant | 225200000X | 2053502 | TX | |
| Physical Therapy Assistant | 225200000X | A6771R | LA |
Addresses
Primary practice location
501 Jack Stephens Dr # 626
Little Rock, AR 72205-5551
Mailing address
6168 Pierce Manse Loop
Benton, AR 72019-8577
Phone (318) 780-7879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2395 | AR | MD | Physical Therapy Assistant |
| A6771R | LA | MD | Physical Therapy Assistant |
| 2053502 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1912246836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6168 PIERCE MANSE LOOP",
"city": "BENTON",
"state": "AR",
"postal_code": "720198577",
"telephone_number": "318-780-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 JACK STEPHENS DR # 626",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055551",
"telephone_number": "501-526-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSON",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"credential": "P.T.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-13",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "2395",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2053502",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "LA",
"license": "A6771R",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.