Stefan Thornberry, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008357 Issued in KY

Practice address

2400 13TH St
Ashland, KY 41102-4510

Phone

(606) 325-0910

Fax

(606) 325-8434

NPI assigned

Aug 19, 2021

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

Medicare fee-for-service enrollment

Enrolled in NC, KY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Athletico, LTD

  • Clinic/Center
  • Lexington, KY
  • NPI 1588339402

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Southeastern Physical Therapy, LLC

  • Physical Therapist
  • Asheville, NC
  • NPI 1699791129
  Medicare reassignment NPD
• Athletico LTD

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1104592187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051240",
            "telephone_number": "606-325-7955",
            "fax_number": "606-325-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411024510",
            "telephone_number": "606-325-0910",
            "fax_number": "606-325-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBERRY",
        "first_name": "STEFAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lynn Thompson, PT
• Savannah Thompson
• Teresa Thompson
• Tomie Thompson, ARNP
• Bjorn Thorarinsson, MD
• William Charles Thorndyke, MDCM FRCS
• Gamani Kyaw Thu, MD
• Chrissty J Tibbs
• Jenilee Rebecca Tierney, RN
• Amanda Tilsley

• Physical Therapist in Ashland, KY
• Providers in Ashland, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.