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

Michael Bryan Paddock, PTA

Individual provider Physical Therapy Assistant · NPI 1417215203

Michael Bryan Paddock, PTA is a Physical Therapy Assistant in Jacksonville, Arkansas. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

92 Quapaw Trl
Jacksonville, AR 72076-8991
Phone: (501) 626-5825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1472

Record details

NPI number1417215203
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 30, 2012
Mailing address92 Quapaw Trl, Jacksonville, AR 72076-8991

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