Jill Susanne Thompson, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204237 Issued in VA

Practice address

4316 Brambleton Ave
Roanoke, VA 24018-3405

Phone

(540) 989-1777

Fax

(540) 989-0222

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jill Susanne Polakowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jill.thompson.1@18289.direct.athenahealth.com

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

• Cawh Rehabilitation Services, LLC.

  dba Cawh Physical Therapy

  • Physical Therapist
  • Liberty, NC
  • NPI 1649360686
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043439540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S MAIN ST",
            "address_2": "SUITE 8",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606600",
            "telephone_number": "540-552-3422",
            "fax_number": "540-552-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 BRAMBLETON AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183405",
            "telephone_number": "540-989-1777",
            "fax_number": "540-989-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JILL",
        "middle_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "POLAKOWSKI",
            "middle_name": "SUSANNE",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Thompson
• David Earl Thompson, M.D.
• Garrett S Thompson, DC
• James T. Thompson, M.D.
• Jeffrey Allen Thompson, PHARM.D
• John K Thompson, PA-C, ATC
• Judith Kay Thompson, RPH
• Julie Thompson, LCSW
• Kevin E Thompson, LPC
• Mallory Loraine Thompson, DPT

• Physical Therapist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapist in Virginia

• 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.

Verify at the official NPI Registry.