JACKSON PARISH THERAPY CENTER LLC (NPI# 1891794491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891794491 |
| Entity Type | Organization |
| Organization Name | JACKSON PARISH THERAPY CENTER LLC |
| Other Organization Name | FYZICAL THERAPY & BALANCE CENTERS |
| Practice Address |
900 Pershing Hwy Jonesboro LA 71251-2046 |
| Mailing Address |
Po Box 2846 Ruston LA 71273-2846 |
| Practice Telephone | 3182599899 |
| Practice Fax Number | 3182599897 |
| Mailing Telephone | 3182248994 |
| Mailing Fax Number | 3182247094 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | JERRY V YARBOROUGH (OWNER) |
| Authorized Official Telephone | 3182248994 |
| Authorized Official Credential | PT, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 03825R | LA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Fyzical Therapy & Balance Centers | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 730 Celebrity Dr, Ruston, LA 712703875 | 3182248994 | 3182247094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912301128 | Jackson Parish Therapy Center LLC | Physical Therapist | 730 Celebrity Dr, Ruston, LA 71270-3875 | 2014-10-17 |
| Street Address |
900 PERSHING HWY |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558840157 | Chelsea Dewees | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2018-08-14 |
| 1255842712 | Rachel Heckford | Speech-Language Pathologist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2017-10-23 |
| 1013445600 | Tabitha D Theodos | Massage Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2017-05-26 |
| 1720515125 | Don Honaker | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2017-05-16 |
| 1912365180 | Lisa Kim Ding | Occupational Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2016-02-03 |
| 1144640434 | Janet Jacobsen | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2014-04-24 |
| 1083055610 | Stephanie K Searing | Speech-Language Pathologist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2013-07-11 |
| 1538413679 | Jerry V Yarborough | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2012-10-26 |
| 1346593910 | Francis John Kilbride | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2012-10-19 |
| 1457514770 | Elizabeth Mcbride | Physical Medicine & Rehabilitation | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| Find all providers in zip 71251 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227876 | Shirley Ann Morton | Specialist | 188 North Ave, Jonesboro, GA 30236-3215 | 2016-11-03 |
| 1306286323 | Eric Chandler Treadway | Specialist | 1699 Stadium Blvd, Suite H, Jonesboro, AR 72401 | 2013-07-05 |
| 1679819312 | Ethel L High | Specialist | 9285 Carnes Estates Dr, Jonesboro, GA 30236-6275 | 2012-12-28 |
| 1538438254 | Chenell Denise Williams | Specialist | 308 Wilburn St, Jonesboro, GA 30236-3637 | 2011-12-26 |
| 1134406341 | Ashley Brooke Thrasher | Specialist | 2105 E Aggie Rd, Arkansas State University-hpess, Jonesboro, AR 72401 | 2011-11-16 |
| 1679856967 | Amy Forester | Specialist | 806 Glendale, Jonesboro, AR 72401 | 2011-09-22 |
| 1891000550 | Sunil Gera M.d.p.a. | Specialist | 2601 Southwest Sq, Jonesboro, AR 72401-5969 | 2010-08-18 |
| 1922338292 | Nataki Burke | Specialist | 10305 Misty Ridge Dr, Jonesboro, GA 30238-8027 | 2010-01-07 |
| 1215176466 | Visa Lahang Avance | Specialist | 1656 W Matthews Ave Apt 5, Jonesboro, AR 72401-3311 | 2009-02-11 |
| 1538297395 | Michael Devon Brown | Specialist | 1710 Battlecreek Village Dr, Jonesboro, GA 30236-8527 | 2007-03-01 |
| Find all providers in JONESBORO | ||||
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| 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.