Active NPI
Ronald Eugene Thompson, PT
- Physical Therapist
- Placerville, CA
National Provider Identifier
1033108394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11754
- Practice address
- 4300 Golden Center Dr
Suite B
Placerville, CA 95667-6278 - Phone
- (530) 344-2045
- Fax
- (530) 642-0794
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11754 | CA | Primary |
Addresses
Primary practice location
4300 Golden Center Dr
Suite B
Placerville, CA 95667-6278
Mailing address
4300 Goldeb Center Dr.
Suite B
Placerville, CA 95667-5738
Phone (530) 344-2045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11754 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eureka Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Sierra Orthopaedic & Athletic Rehabilitation Physical Therapyinc | Physical Therapist | Past | Accepting new patients |
| Ron L Kopitzke PT, DPT Ocs | 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.
-
- Specialist
- Placerville, CA
- NPI 1821008236
-
- Physical Therapist
- Placerville, CA
- NPI 1225721442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033108394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 GOLDEB CENTER DR.",
"address_2": "SUITE B",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675738",
"telephone_number": "530-344-2045",
"fax_number": "530-642-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 GOLDEN CENTER DR",
"address_2": "SUITE B",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956676278",
"telephone_number": "530-344-2045",
"fax_number": "530-642-0794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "RONALD",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "11754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.