Kelly Marie Thompson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

008212 Issued in AZ

Practice address

401 S Gallaher View Rd Apt 210
Knoxville, TN 37919-5334

Phone

(651) 343-7971

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703894400000",
    "number": "1083177034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18704 N COOK DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384499",
            "telephone_number": "651-343-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S GALLAHER VIEW RD APT 210",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195334",
            "telephone_number": "651-343-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5330",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19912",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT1870",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "008212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances D Thompson, TN 2917, KY A03002
• Hannah Kathryn Thompson, LMFT
• Haven Thompson
• Heather L. Thompson, PA-C
• Julie Kay Thompson, M.S., CCC-SLP
• Lena Oday Thompson, RN
• Mallory Thompson
• Marcus Alexander Thompson, LCSW
• Marion Loura Thompson, BS
• Nancy Ann Thompson, MSED

• Occupational Therapist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; 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.