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

Jacob Edwards, DPT

Individual provider Physical Therapist · NPI 1619346848

Jacob Edwards, DPT is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2015, 11 years ago. Practices with Ozark Orthopaedics, PA, a 57-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2015
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

3317 N Wimberly Dr
Fayetteville, AR 72703-4056
Phone: (479) 587-3117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4047 (AR)

Record details

NPI number1619346848
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 17, 2015
Last updated in NPPESSeptember 17, 2015
Mailing address3317 N Wimberly Dr, Fayetteville, AR 72703-4056

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ozark Orthopaedics, P.A. — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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