Individual provider Active NPI

Ryan P Thompson, PHYSICAL THERAPIST

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1023315405
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34420 Issued in CA
Practice address
275 N Clovis Ave, Unit 127
Clovis, CA 93612-5956
Phone
(559) 365-5001
Fax
(559) 354-5915
NPI assigned
Feb 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34420 CA Primary

Addresses

Primary practice location

275 N Clovis Ave, Unit 127
Clovis, CA 93612-5956

Mailing address

275 N Clovis Ave, Unit 127
Clovis, CA 93612-5956
Phone (559) 365-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120730000463 CA Practitioner - Physical Therapist in Private Practice 5395901730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Physical Therapy IncGroup PAC ID 7214191519, 2 clinicians

Practice addresses (Care Compare)

275 N Clovis Ave
Suite 127
Clovis, CA 93612-0336
Phone (559) 365-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34420CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Power Chiropractic Health a K&L Baune PC PastSince Jan 14, 2024 Accepting new patients
Results Rehabilitation Solutions LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1023315405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 N CLOVIS AVE, UNIT 127",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936125956",
            "telephone_number": "559-365-5001",
            "fax_number": "559-354-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 N CLOVIS AVE, UNIT 127",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936125956",
            "telephone_number": "559-365-5001",
            "fax_number": "559-354-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RYAN",
        "middle_name": "P",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.