Katelyn Michelle Thompson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212241 Issued in VA

Practice address

6201 Centreville Rd Ste 500
Centreville, VA 20121-2634

Phone

(703) 263-2095

Fax

(703) 263-2098

NPI assigned

Jun 11, 2018

Last updated

Mar 25, 2020By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

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  • NPI 1699655589
  NPD (past)
• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1144713579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 CENTREVILLE RD STE 500",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212634",
            "telephone_number": "703-263-2095",
            "fax_number": "703-263-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CENTREVILLE RD STE 500",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212634",
            "telephone_number": "703-263-2095",
            "fax_number": "703-263-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATELYN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Coleman Therapy Center
• The Learning Ladder, LLC
• The Reading and Language Learning Center
• Jasser Thiara, M.D.
• Judith A Thomas, DDS
• Bessie Thorne, PT
• Rena Thuman, DDS
• Timothy Kim &Thomas Kim, DDS, PC
• Tiny Pearls Pediatric Dentistry PLLC
• Toshiki Matsui, D.D.S., P.C.

• Physical Therapist in Centreville, VA
• Providers in Centreville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.