Active NPI
Therapeutic Exercise Rehabilitation & Wellness, Inc
- Physical Therapist
- Jonesboro, AR
National Provider Identifier
1922309475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3059
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dartell Dante Treadwell
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Physical Therapist
- Jonesboro, AR
- NPI 1245560606
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
- The Surgical Hospital of Jonesboro
- The Surgical Hospital of Jonesboro
- Lydia Hope Theisen
- Thera-Play Pediatric Therapy Associates (Playtime Therapy Center)
- Thera-Play Pediatric Therapy Associates
- Therapy Links
- Therapy Solutions of Nea, Inc.
- Therex Wellness and Rehabilitation
- Jessica B Thielemier
- Kristen Kaye Thielemier
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.