CAROLYN MOODY PHYSICAL THERAPY CO.
NPI 1114116878
Physical Therapist - Pediatrics in Jonesboro, AR

Q: What is Carolyn Moody Physical Therapy Co.'s NPI number?

The NPI number for Carolyn Moody Physical Therapy Co. is 1114116878. It was assigned to this organization in the NPPES registry on October 18, 2007.

Q: What is Carolyn Moody Physical Therapy Co.'s specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Active since October 18, 2007

217 E CHERRY AVE, JONESBORO, AR 72401(870) 932-5551 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carolyn Moody Physical Therapy Co. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN MOODY PHYSICAL THERAPY CO. (NPI 1114116878) is a healthcare organization registered as a pediatrics in Jonesboro, Arkansas and active in the NPI registry since October 2007. The organization lists Carolyn Moody, Owner, as its authorized official.

NPPES Registry Identity

NPI1114116878

Entity TypeOrganization

Primary Taxonomy2251P0200X

Legal Business NameCAROLYN MOODY PHYSICAL THERAPY CO.

Location Address217 E CHERRY AVEJonesboro, AR 72401-3372

Mailing Address217 E Cherry AveJonesboro, AR 72401-3372 · (870) 932-5551

Phone(870) 932-5551

Organization SubpartNo

Authorized OfficialCarolyn MoodyOwner · (870) 932-5551

Enumeration DateOctober 18, 2007

✔ NPI 1114116878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in AR · 819

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

217 E CHERRY AVE, Jonesboro, AR 72401

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Other Identifiers 1

Medicaid165343742AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILDRENS DENTAL CLINIC OF JONESBORO

Clinic/Center (Dental)