Organization
NEXT GENERATION PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB D JOHNSON DPT (OWNER)
(501) 286-6059
Entity
Organization
Contact information
Practice address
100 GATEWAY DRIVE, CABOT, AR 72023
(501) 286-6059
(501) 286-6061
Mailing address
100 GATEWAY DRIVE, CABOT, AR 72023
(501) 286-6059
(501) 286-6061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3506
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196313721
—
AR
Enumeration date
06/15/2015
Last updated
04/16/2018
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