Individual provider Active NPI

Jessica Brown, PT

  • Neurology Physical Therapist
  • Little Rock, AR
National Provider Identifier
1962426767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
2351 Issued in AR
Practice address
5 Saint Vincent Cir Ste 401
Blanford Building
Little Rock, AR 72205-5413
Phone
(501) 661-0077
Fax
(501) 664-2749
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 2351 AR Primary

Addresses

Primary practice location

5 Saint Vincent Cir Ste 401
Blanford Building
Little Rock, AR 72205-5413

Mailing address

5 Saint Vincent Cir Ste 401
Blanford Building
Little Rock, AR 72205-5413
Phone (501) 661-0077

Other identifiers 1

IdentifierTypeStateIssuer
AR 2351OtherARPHYSICAL THERAPY LICENSE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maumelle Physical Therapy, Inc. Neurology PastSince Sep 21, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962426767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 401",
            "address_2": "BLANFORD BUILDING",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055413",
            "telephone_number": "501-661-0077",
            "fax_number": "501-664-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR STE 401",
            "address_2": "BLANFORD BUILDING",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055413",
            "telephone_number": "501-661-0077",
            "fax_number": "501-664-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JESSICA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AR",
            "license": "2351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "AR 2351",
            "state": "AR"
        }
    ],
    "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 Jul 8, 2007; 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.