Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Roberts, PTDPT

Individual provider Physical Therapist · NPI 1043094949

Carl Roberts, PTDPT is a Physical Therapist in Private Practice in Jacksonville, Arkansas. Qualified in 2023, 3 years ago. Practices with Harris and Renshaw Rehab Center Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
3
Licensed in
AR
In the registry since
2023

Practice location Address checks out

208 John Harden Dr
Jacksonville, AR 72076-3775
Phone: (501) 982-9511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT5372 (AR)

Record details

NPI number1043094949
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedAugust 22, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023
Mailing address4801 Fairway Ave, North Little Rock, AR 72116-8009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Harris And Renshaw Rehab Center Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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