Deandra Thompson

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

9283 Issued in TN

Practice address

7828 Signature Pkwy
Hixson, TN 37343-1772

Phone

(615) 478-0961

NPI assigned

Dec 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Clinton, TN
  • NPI 1376073262
  Medicare reassignment NPD
• The Weston Group of Tennessee Inc

  • Physical Therapist
  • Hixson, TN
  • NPI 1467866848
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1073058210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7828 SIGNATURE PKWY",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373431772",
            "telephone_number": "615-478-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7828 SIGNATURE PKWY",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373431772",
            "telephone_number": "615-478-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DEANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010825",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TN",
            "license": "9283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Weston Group of Tennessee Inc
• Ashley Thomas, PHARMD
• Carrie Christine Thomas, PHD
• Jill Thomas
• Christian Deven Thompson, LMT
• Amy Marie Thomson, M.ED.
• Rebecca Thorne, LCSW
• Marchel D Tinney, APN
• Matthew C. Tinney, DO
• Titan Outpatient Fluoroscopy Services

• Geriatric Physical Therapist in Hixson, TN
• Providers in Hixson, TN by specialty
• Geriatric Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.