Individual provider Active NPI

Rhiannon Brwynn Thomas, PHD

  • Clinical Neuropsychologist
  • Miami, FL
National Provider Identifier
1164636809
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY6401 Issued in FL
Practice address
11113 Biscayne Blvd Unit 456
Miami, FL 33181-3406
Phone
(786) 296-1212
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY6401 FL Primary

Addresses

Primary practice location

11113 Biscayne Blvd Unit 456
Miami, FL 33181-3406

Mailing address

11113 Biscayne Blvd Unit 456
Miami, FL 33181-3406
Phone (786) 296-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY6401FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Performance Physical Therapy LLC PastSince Jun 26, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1164636809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11113 BISCAYNE BLVD UNIT 456",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813406",
            "telephone_number": "786-296-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11113 BISCAYNE BLVD UNIT 456",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331813406",
            "telephone_number": "786-296-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RHIANNON",
        "middle_name": "BRWYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY6401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.