Justin Thompson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29245 Issued in FL

Practice address

4113 NW 6TH St Ste C
Gainesville, FL 32609-0731

Phone

(352) 376-6300

Fax

(352) 372-0661

NPI assigned

Sep 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1063815538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 NW 6TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326090731",
            "telephone_number": "352-376-6300",
            "fax_number": "352-372-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 NW 6TH ST STE C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326090731",
            "telephone_number": "352-376-6300",
            "fax_number": "352-372-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "29245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y0P52",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inez Loretta Thompson
• Jennifer Thompson
• Jennifer Ellen Thompson, PA-C
• Jerry Mizell Thompson, LMHC
• Joivonna Kenyatda Thompson, MSW, LCSW
• Kambria A Thompson
• Matthew Lloyd Thompson
• Megan Thompson
• Meredith C. Thompson, MD
• Michael Allan Thompson, DNP

• Physical Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.