Provider Demographics
NPI:1629256334
Name:SIMPSON, JANNA (PT)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:JANNA
Other - Middle Name:MARIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MPT
Mailing Address - Street 1:3502 SW LUCRETIA RD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72713-5020
Mailing Address - Country:US
Mailing Address - Phone:870-926-0749
Mailing Address - Fax:
Practice Address - Street 1:2317 N MOUNT OLIVE ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-7070
Practice Address - Country:US
Practice Address - Phone:479-755-4047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT3044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist