JACKSONVILLE PHYSICAL THERAPY (NPI# 1205937745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205937745 |
| Entity Type | Organization |
| Organization Name | JACKSONVILLE PHYSICAL THERAPY |
| Practice Address |
208 John Harden Dr Jacksonville AR 72076-3775 |
| Practice Telephone | 5019829511 |
| Practice Fax Number | 5019829512 |
| Mailing Telephone | 5019829511 |
| Mailing Fax Number | 5019829512 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2013-12-30 |
| Authorized Official Name | PROF. HARRY MORTON (PRESIDENT) |
| Authorized Official Telephone | 5019829511 |
| Authorized Official Credential | PHYSICAL THERAPI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
727 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARBCBS | 56082 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JACKSONVILLE PHYSICAL THERAPY | 635 N 5th St, Jacksonville, OR 97530 |
| Street Address |
208 JOHN HARDEN DR |
| City | JACKSONVILLE |
| State | AR |
| Zip Code | 72076-3775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956148 | Zachary Daniel Simmons | Physical Therapist | 208 John Harden Dr, Jacksonville, AR 72076-3775 | 2017-08-01 |
| 1124115480 | Harry W. Morton | Physical Therapist | 208 John Harden Dr, Jacksonville, AR 72076-3775 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
| 1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
| 1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
| 1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
| 1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
| 1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
| 1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
| 1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
| 1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
| 1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
| Find all providers in zip 72076 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351971 | Janet Moulton, Inc. | Clinic/Center | 13241 Bartram Park Blvd Unit 1913, Jacksonville, FL 32258-5228 | 2020-06-18 |
| 1417570326 | Rebound Rehabilitative Services Inc | Clinic/Center | 5913 Normandy Blvd Ste 3, Jacksonville, FL 32205-6269 | 2020-05-26 |
| 1952935769 | Pain Care & Physical Therapy, Inc. | Clinic/Center | 2685 Alexia Cir, Jacksonville, FL 32246-0002 | 2020-03-02 |
| 1124676002 | Her Essence Physical Therapy & Wellness LLC | Clinic/Center | 3890 Dunn Ave Ste 1001, Jacksonville, FL 32218-6429 | 2019-09-03 |
| 1912552977 | Your Place Physical Therapy Pa | Clinic/Center | 14286 Beach Blvd Ste 19-123, Jacksonville, FL 32250-1561 | 2019-08-07 |
| 1871153213 | Rebound Rehabilitative Services Inc | Clinic/Center | 8081 Philips Hwy Ste 5, Jacksonville, FL 32256-7443 | 2019-06-18 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1952852287 | Conlon Physical Therapy, LLC | Clinic/Center | 7545 Centurion Pkwy Ste 104, Jacksonville, FL 32256-4118 | 2016-10-21 |
| 1336699552 | Select Physical Therapy | Clinic/Center | 1328 Vine St, Jacksonville, FL 32207-8743 | 2016-10-12 |
| 1609279405 | Ergo Body Inc. | Clinic/Center | 1555 San Marco Blvd, Jacksonville, FL 32207-2905 | 2014-10-07 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 72076 |
Please comment or provide details below to improve the information on JACKSONVILLE PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.