EXODUS PHYSICAL THERAPY


Address: 1728 Westwood Cv, Jonesboro, AR 72401-4793
Phone: 8702199700

EXODUS PHYSICAL THERAPY (NPI# 1417428152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417428152
Entity Type Organization
Organization Name EXODUS PHYSICAL THERAPY
Practice Address 1728 Westwood Cv
Jonesboro
AR 72401-4793
Practice Telephone 8702199700
Mailing Telephone 8702199700
Enumeration Date 2018-12-06
Last Update Date 2018-12-06
Authorized Official Name DR. DARTELL TREADWELL (CEO)
Authorized Official Telephone 8702199700
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1245560606 01

Other Provider/Organization Names

Other Name Type Code
Exodus Rehab Doing Business As Name - Organization

Office Location

Street Address 1728 WESTWOOD CV
City JONESBORO
State AR
Zip Code 72401-4793

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407453368 Mariah Kay Jackson Physical Therapy Assistant Creative Kids Therapy, Jonesboro, AR 72401 2020-10-05
1821606005 Kafayat Folake Iyanda Specialist/Technologist 2105 East Aggie Rd, Jonesboro, AR 72401 2020-07-14
1053936310 Josh Roberts Physical Therapist 1010 South Main St, Jonesboro, AR 72401 2020-06-12
1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1871126698 Sarah Lowtharp Clinical Nurse Specialist 225 East Washington Ave., Jonesboro, AR 72401 2020-02-20
1891335519 Mallori Miller Case Manager/Care Coordinator 837 Willett Rd, Jonesboro, AR 72401 2020-01-10
1265073704 Michael Bruce Collie Registered Nurse 837 Williett Road, Jonesboro, AR 72401 2019-10-07
1285283432 Jonesboro Ambulatory Surgery Center, LLC Clinic/Center 1710 Mayfield Dr, Jonesboro, AR 72401 2019-09-10
1841843943 Destinee Katrina Cole Specialist/Technologist 2015 Aggie Rd, Jonesboro, AR 72401 2019-07-18
1699250472 Jessica Marie Mcnatt Occupational Therapist 907 County Road 753, Jonesboro, AR 72401 2018-09-27
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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780920298 Therapy Links Clinic/Center 4504 Kalli Dr, Jonesboro, AR 72404-8091 2013-01-02
1740550847 Five Star Rehabilitation and Wellness Services, LLC. Clinic/Center 8080 Summit Business Pkwy, Jonesboro, GA 30236-4199 2012-01-05
1619466513 Emory Physical Therapy, LLC Clinic/Center 7813 Spivey Station Blvd Ste 230, Jonesboro, GA 30236-2900 2018-05-07
1346473139 Tracy Jones Physical Therapy Services, P.a. Clinic/Center 1107 E Matthews Ave, Suite 100, Jonesboro, AR 72401-4315 2009-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891339719 Brookfield Physical Rehabilitation, LLC Clinic/Center 205 Sawtooth Oak St, Hot Springs, AR 71901-7169 2019-11-04
1710541289 Baxter County Regional Hospital Inc Clinic/Center 414 W Old Main St Ste B, Yellville, AR 72687-8284 2019-04-30
1275018954 Fort Smith Physical Therapy Center Clinic/Center 318 N Greenwood Ave, Fort Smith, AR 72901-3454 2018-09-28
1104319433 Rise Physical Therapy Pa Clinic/Center 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 2018-06-12
1902304876 Northwest Arkansas Physical Ability Testing Center, P.a. Clinic/Center 4001 Wagon Wheel Road, Springdale, AR 72762 2018-01-25
1710490818 Marianna Clo Hendrycy Clinic/Center 1830 N Crossover Rd, Fayetteville, AR 72701-2725 2017-11-10
1386168581 Pinnacle Physical Therapy Clinic/Center 28 Silver Meadow Cv, North Little Rock, AR 72118-5285 2017-07-28
1447614540 Heather Williams Clinic/Center 791 Highway 24 E, De Queen, AR 71832-8425 2016-04-05
1225403843 Bohannan Physical Therapy LLC Clinic/Center 3712 Brighton Pl, Greenwood, AR 72936-6850 2015-12-08
1447634001 Hambrick Physical Therapy LLC Clinic/Center 270 Southfork Rd, Batesville, AR 72501-7791 2015-07-14
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Competitor

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City JONESBORO
Zip Code 72401

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Dataset Information

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.

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