Active NPI
Kristi M Thompson, PT
- Physical Therapist
- Jesup, GA
National Provider Identifier
1154328334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008273
- Practice address
- 1579 W Cherry St
Jesup, GA 31545-0611 - Phone
- (912) 427-2162
- Fax
- (912) 427-2562
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008273 | GA | Primary |
| Physical Therapist | 225100000X | PT21677 | FL |
Addresses
Primary practice location
1579 W Cherry St
Jesup, GA 31545-0611
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (706) 236-2774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00342394 | Other | FL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT21677 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation and Consulting | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Rome, GA
- NPI 1174518682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1154328334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "706-236-2774",
"fax_number": "706-236-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1579 W CHERRY ST",
"city": "JESUP",
"state": "GA",
"postal_code": "315450611",
"telephone_number": "912-427-2162",
"fax_number": "912-427-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KRISTI",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008273",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21677",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00342394",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jesup, GA
- William Ralph Taylor III
- The Howard Center for Social Cognition and Communication
- The Neurological Institute of Savannah & Center for Spine P C
- Eddie D. Thomas, M.D.
- James Derryl Thomas, O.D.
- Ashley Strock Thrift, RBT
- Tim'S Home Medical LLC
- Chance Stewart Tiner, NP
- Town and Country Pharmacy
- Kevin Anthony Trankle, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.