# JORDAN PHYSICAL THERAPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JORDAN PHYSICAL THERAPY DBA HOT SPRINGS SPORTS MEDICINE
- **Other names:** Hot Springs Sports Medicine
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1427381813
- **Legal business name:** JORDAN PHYSICAL THERAPY DBA HOT SPRINGS SPORTS MEDICINE
- **Authorized official:** REBECCA T. HUMPHRIES CMA (PCC/CREDENTIALING SPECIALIST NC/AR)
- **Authorized official phone:** (704) 879-2532

## Contact information

- **Practice address:** 2278 ALBERT PIKE ROAD, SUITE B, HOT SPRINGS, AR 71913-4157
- **Practice address phone:** (501) 767-0808
- **Practice address fax:** (501) 767-0832
- **Mailing address:** 2675 COURT DR, GASTONIA, NC 28054-1478
- **Mailing address phone:** (704) 824-7800
- **Mailing address fax:** (704) 824-2853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 05/19/2014