Organization Active NPI

Therapeutic Exercise Rehabilitation & Wellness, Inc

  • Physical Therapist
  • Jonesboro, AR
National Provider Identifier
1922309475
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3059 Issued in AR
Legal business name
THERAPEUTIC EXERCISE REHABILITATION & WELLNESS, INC
Practice address
1728 Westwood CV
Jonesboro, AR 72401-4793
Phone
(870) 292-9280
NPI assigned
Nov 14, 2010
Last updated
Feb 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Authorized official

Name
Dr. Dartell Dante TreadwellNPI 1245560606
Title
Owner
Phone
(870) 292-9280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT3059 AR Primary

Addresses

Primary practice location

1728 Westwood CV
Jonesboro, AR 72401-4793

Mailing address

1728 Westwood CV
Jonesboro, AR 72401-4793
Phone (870) 292-9280

National Provider Directory

National Provider Directory

Locations

1421 W Nettleton Ave
Jonesboro, AR 72401
Phone (870) 926-0271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1922309475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 WESTWOOD CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014793",
            "telephone_number": "870-292-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 WESTWOOD CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014793",
            "telephone_number": "870-292-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC EXERCISE REHABILITATION & WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-14",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "TREADWELL",
        "authorized_official_first_name": "DARTELL",
        "authorized_official_middle_name": "DANTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-292-9280",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT3059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.