Jessie Dell Thomas, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1322780 Issued in TX

Practice address

12520 Willow Springs Rd Ste 104
Haslet, TX 76052-3584

Phone

(817) 210-6196

Fax

(817) 782-9303

NPI assigned

Apr 8, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coppell Spine & Sports Rehab Limited Partnership

  • Physical Therapy Clinic/Center
  • Coppell, TX
  • NPI 1669490629
  NPD (past)
• Pate Rehabilitation Endeavors, LLC

  • Rehabilitation Clinic/Center
  • Irving, TX
  • NPI 1083738892
  NPD (past)

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1114546397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12520 WILLOW SPRINGS RD STE 104",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523584",
            "telephone_number": "817-210-6196",
            "fax_number": "817-782-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSIE",
        "middle_name": "DELL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1322780",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP011077T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Stinson, FNP-C
• Yvonne Tamufor, RN
• Breeanna Dawn Taylor
• Britton Andrew Taylor, D.C.
• The Brumbachs Sons LLC
• Amanda Ann Thompson
• Amanda Jean Thompson
• Colleen Thurman, FNP-C
• Timely Medical Care PLLC
• Alicia Lyn Townsend, PH.D.

• Physical Therapist in Haslet, TX
• Providers in Haslet, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.