Jonathan Putnam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4386 Issued in AR

Practice address

4847 Kaylee Ave Ste B
Springdale, AR 72762-0872

Phone

(479) 756-5002

NPI assigned

Feb 12, 2024

Last updated

Feb 12, 2024By the provider in NPPES

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arkansas Physical Therapy Services of Conway, LLC

  dba Arkansas Physical Therapy Services of Conway

  • Physical Therapist
  • Fayetteville, AR
  • NPI 1780200782
  Medicare reassignment
• LHCG Xlii, LLC

  dba Elite Home Health

  • Home Health Agency
  • Springdale, AR
  • NPI 1043557788
  NPD (past)

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1972367829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W CLEARWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046127",
            "telephone_number": "479-200-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 KAYLEE AVE STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620872",
            "telephone_number": "479-756-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychplus Medical Associates PLLC
• Psychplus Medical Associates PLLC
• Psychplus Medical Associates PLLC
• Chloe Putnam, MS
• Elizabeth Joy Putnam
• Haylee E Pyburn
• QHG of Springdale Inc (Communities Home Health)
• QHG of Springdale Inc (Northwest Medical Center of Washington County)
• Jamie Queen
• Quick Care Clinic

• Physical Therapist in Springdale, AR
• Providers in Springdale, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.