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

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