Active NPI
Jessica Lewis, PT, DPT
- Physical Therapist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT4292
- Practice address
- 2603 W Pleasant Grove Rd Ste 104
Rogers, AR 72758-8514 - Phone
- (479) 636-1187
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4292 | AR | Primary |
| Physical Therapist | 225100000X | 1305872 | TX |
Addresses
Primary practice location
2603 W Pleasant Grove Rd Ste 104
Rogers, AR 72758-8514
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
180 State St Ste 225
Southlake, TX 76092-7632
Phone (866) 839-6979
Other names 1
- Jessica Reid
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16100 Chenal Valley Dr
Little Rock, AR 72223-4042
Phone (501) 289-5010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4292 | AR | MD | Physical Therapist |
| 1305872 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rebabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Serc Rehabilitation Partners, LLC | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Texas Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Sportcare Rehabilitation Inc | Physical Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| CPT Specialty Group LLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
2603 W Pleasant Grove Rd
Ste 104
Rogers, AR 72758
Phone (479) 636-1187
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
4750 Bryant Irvin Rd N
Ft Worth, TX 76107
Phone (817) 923-9000
180 State St
Ste 225
Southlake, TX 76092
Phone (682) 429-7066
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1225766447
Physical Therapist
-
- Physical Therapist
- Fort Worth, TX
- NPI 1295816965
-
- Physical Therapist
- Southlake, TX
- NPI 1790309656
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Physical Therapist
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
-
- Orthopedic Physical Therapist
- Fort Worth, TX
- NPI 1184009474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1942956099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 W PLEASANT GROVE RD STE 104",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588514",
"telephone_number": "479-636-1187"
}
],
"practiceLocations": [
{
"address_1": "180 State St Ste 225",
"address_purpose": "LOCATION",
"city": "Southlake",
"state": "TX",
"postal_code": "760927632",
"country_code": "US",
"telephone_number": "866-839-6979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEWIS",
"first_name": "JESSICA",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT4292",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1305872",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "REID",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.