MR. JACOB DARRELL JOHNSON DPT
NPI 1174873723
Physical Therapist in Lonoke, AR

Active since September 11, 2012Accepts Medicare Assignment
1515 NORTH CENTER STREET, SUITE 5, LONOKE, AR 72086(501) 676-5540(501) 676-6499 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jacob Darrell Johnson Dpt NPPES

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

MR. JACOB DARRELL JOHNSON DPT (NPI 1174873723) is an individual physical therapist in Lonoke, Arkansas, licensed in Arkansas (PT 3506) and active in the NPI registry since September 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1174873723
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JACOB DARRELL JOHNSONCredential: DPT
Location Address1515 NORTH CENTER STREET, SUITE 5Lonoke, AR 72086
Mailing Address1515 North Center Street, Suite 5Lonoke, AR 72086 · (501) 676-5540 · Fax (501) 676-6499
Fax(501) 676-6499
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 11, 2012
NPI 1174873723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in AR · PT 3506
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1515 NORTH CENTER STREET, Lonoke, AR 72086

Other Identifiers 2

Medicaid127083742AR
Medicare UPIN5B641AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob Darrell Johnson Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214187657
PECOS Enrollment IDI20121022000260

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Johnson's NPI number?

The NPI number for Jacob Johnson is 1174873723. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Jacob Johnson located?

Jacob Johnson practices at 1515 North Center Street Suite 5, Lonoke, AR 72086. The listed phone number is (501) 676-5540.

What is Jacob Johnson's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jacob Johnson enrolled in Medicare?

Yes. Jacob Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Johnson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Jacob Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Johnson was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.