JIMMY JACOB CARTER DPT
NPI 1386567261
Physical Therapist in Bentonville, AR
About Jimmy Jacob Carter Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIMMY JACOB CARTER DPT (NPI 1386567261) is an individual physical therapist in Bentonville, Arkansas, licensed in Arkansas (PT5861) and active in the NPI registry since July 2026. He maintains a secondary practice location in Rogers and is a graduate of Texas Tech University Health Science Center School Of Medicine (2026).
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jimmy Jacob Carter Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jimmy Carter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jimmy Carter's NPI number?
The NPI number for Jimmy Carter is 1386567261. It was assigned to this individual provider in the NPPES registry on July 30, 2026. The provider is also known as Jake Carter Dpt.
Where is Jimmy Carter located?
Jimmy Carter practices at 2905 S Walton Blvd Ste 5, Bentonville, AR 72712. The listed phone number is (479) 717-1102.
What is Jimmy Carter's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jimmy Carter enrolled in Medicare?
Yes. Jimmy Carter is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jimmy Carter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jimmy Carter reassigns Medicare benefits to Rise Physical Therapy, Inc. (Fayetteville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jimmy Carter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jimmy Carter was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.