Organization
JORDAN PHYSICAL THERAPY CENTER LLC
Active
Other names
Hot Springs Sports Medicine, Jordan Physical Therapy Center INC
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER QUILLEN (BILLING MANAGER)
(704) 824-7800
Entity
Organization
Contact information
Practice address
2278 ALBERT PIKE ROAD, SUITE B, HOT SPRINGS, AR 71913-4157
(501) 767-0808
(501) 767-0832
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 824-7800
(704) 824-2853
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156148742
—
AR
01
—
50-109
AR BCBS
AR
01
—
50109
BCBS
AR
Enumeration date
03/03/2006
Last updated
11/07/2023
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