Kyle Jewell

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

605 Mena St
Mena, AR 71953-3339

Phone

(479) 385-1236

Fax

(479) 437-3786

NPI assigned

Sep 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• TTJ, Inc

  • Physical Therapist
  • Mena, AR
  • NPI 1447637657
  NPD (past)

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1952959934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MENA ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533339",
            "telephone_number": "479-385-1236",
            "fax_number": "479-437-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MENA ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719533339",
            "telephone_number": "479-385-1236",
            "fax_number": "479-437-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destany Mikayla Horn, COTA
• Patricia D Howard, LPC
• Abbie Lynn Hughes
• Humberto J. Sosa, MD, PA
• Mark Hays Hurst, DDS
• Manda Jewell
• Jmac Medical PLLC
• Charlenne Johnson, FNP-C
• Erin L. Johnson, PTA
• Jeffrey A. Jones, P.A.

• Physical Therapy Assistant in Mena, AR
• Providers in Mena, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.