Becky Thompson, PTA
Individual provider Active NPI Physical Therapy Assistant · Lakeland, GA
NPI 1154776656 · NPPES record last updated May 3, 2016
Key facts
- NPI
- 1154776656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA001181 (GA)
- Practice address
- 116 W Thigpen Ave
Lakeland, GA 31635-1011 - Phone
- (229) 482-8578
- Fax
- (229) 482-8556
- NPI assigned
- May 3, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA001181 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA001181 | GA | Yes |
Addresses
Primary practice location
116 W Thigpen Ave
Lakeland, GA 31635-1011
Mailing address
116 W Thigpen Ave
Lakeland, GA 31635-1011
Phone (229) 482-8578
Other providers in Lakeland, GA
- South Health District
- Southland - Lakeland Medical Services, LLC
- Kinsey Spivey
- Pamela Tomberlin Stone I
- Kimberly Taylor
- Kaytlin Tucker
- Farah Turalic
- United Care Transport LLC
- Vema Holistic Health LLC
- Christopher Vinson
All providers in Lakeland, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.