Kelly Shea Thompson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

31374 Issued in FL

Practice address

4051 E Olive Rd Apt 287
Pensacola, FL 32514-6475

Phone

(251) 709-3423

NPI assigned

May 11, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1043956147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 E OLIVE RD APT 287",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146475",
            "telephone_number": "251-709-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 E OLIVE RD APT 287",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146475",
            "telephone_number": "251-709-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "middle_name": "SHEA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "31374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "endpointDescription": "N/a",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4051 E Olive Rd Apt 287",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325146475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dixie Routon Thompson, ARNP
• Elizabeth Thompson, CCC-SLP
• Jennifer C Thompson, M.D.
• John Robert Thompson, CRNA
• Katelin Thompson, APRN
• Kristen Thompson, LMHC
• Lauren Thompson
• Marcelene Calvert Thompson, LCSW
• Nicole Pecora Thompson, CRNA
• Parker Leigh Thompson, DDS

• Physical Therapy Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.