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

Jesse Edwards

Individual provider Physical Therapist · NPI 1720771330

Jesse Edwards is a Physical Therapist in Private Practice in Fayetteville, Arkansas. Qualified in 2019, 7 years ago. Practices with University of Arkansas for Medical Sciences, a 1,144-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2023
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Practice location Address checks out

1125 N College Ave # 100
Fayetteville, AR 72703-1908
Phone: (479) 713-8630
Fax: (479) 713-8639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1101 S Horsebarn Rd, Rogers, AR 72758-8237 — (479) 271-4170

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT4623 (AR)

Record details

NPI number1720771330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2023
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address4301 W Markham St # 783, Little Rock, AR 72205-7101

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Of Arkansas For Medical Sciences — 1144 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville