NPIMap

Organization Active NPI

Lonoke Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Lonoke, AR
National Provider Identifier
1992706477
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT1452 Issued in AR
Legal business name
LONOKE PHYSICAL THERAPY, INC
Practice address
1515 N Center St
#3
Lonoke, AR 72086-2101
Phone
(501) 676-5540
Fax
(501) 676-6499
NPI assigned
Aug 9, 2005
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Mr. Matt H Jackson, MSPT
Title
President/PT
Phone
(501) 676-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT1452 AR Primary

Addresses

Primary practice location

1515 N Center St
#3
Lonoke, AR 72086-2101

Mailing address

1515 N Center St
#3
Lonoke, AR 72086-2101
Phone (501) 676-5540

National Provider Directory

National Provider Directory

Locations

1515 N Center St
Ste 3
Lonoke, AR 72086
Phone (501) 676-5540

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1992706477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N CENTER ST",
            "address_2": "#3",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862101",
            "telephone_number": "501-676-5540",
            "fax_number": "501-676-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N CENTER ST",
            "address_2": "#3",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862101",
            "telephone_number": "501-676-5540",
            "fax_number": "501-676-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONOKE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/PT",
        "authorized_official_telephone_number": "501-676-5540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AR",
            "license": "PT1452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonoke, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.