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

Individual provider Physical Therapist · NPI 1508261546

Daniel C Grantham, DPT is a Physical Therapist in Private Practice in Jonesboro, Arkansas. Qualified in 2014, 12 years ago. Practices with Northeast Arkansas Clinic Charitable Foundation, Inc, a 295-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

909 Enterprise Dr
Jonesboro, AR 72401
Phone: (870) 936-8000
Fax: (870) 934-3654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 W Broadway St, West Memphis, AR 72301-3904 — (870) 394-7000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT3876 (AR)

Record details

NPI number1508261546
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 4, 2014
Last updated in NPPESSeptember 18, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northeast Arkansas Clinic Charitable Foundation, Inc. — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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