Healthcare Provider Details

I. General information

NPI: 1124942248
Provider Name (Legal Business Name): ADYSON JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 THOMASVILLE RD
POCAHONTAS AR
72455-1203
US

IV. Provider business mailing address

2520 THOMASVILLE RD
POCAHONTAS AR
72455-1203
US

V. Phone/Fax

Practice location:
  • Phone: 870-701-5089
  • Fax: 870-277-0896
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP060949T
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2026037971
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: