Individual provider Active NPI

Jeanne Thompson, P.T.

  • Physical Therapist
  • Farmington, CT
National Provider Identifier
1174595615
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004017 Issued in CT
Practice address
10 Talcott Notch Rd
Suite 101
Farmington, CT 06032-1800
Phone
(860) 674-1852
Fax
(860) 674-1937
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004017 CT Primary

Addresses

Primary practice location

10 Talcott Notch Rd
Suite 101
Farmington, CT 06032-1800

Mailing address

10 Talcott Notch Rd
Suite 101
Farmington, CT 06032-1800
Phone (860) 674-1852

Other identifiers 3

IdentifierTypeStateIssuer
1243160OtherCTAETNA
3378723OtherCTCIGNA PPO
080004017CT30OtherCTANTHEM BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000312 CT Practitioner - Physical Therapist in Private Practice 7214963776 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Farmington, CT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Physical Therapy LLCGroup PAC ID 9133667868, 2 clinicians

Practice addresses (Care Compare)

270 Farmington Ave
Suite 337
Farmington, CT 06032-1909
Phone (860) 674-1852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4017CTMDClinical Psychologist
004017CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2020 Accepting new patients

Locations

270 Farmington Ave
Ste 337
Farmington, CT 06032
Phone (860) 674-1852

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174595615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TALCOTT NOTCH RD",
            "address_2": "SUITE 101",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321800",
            "telephone_number": "860-674-1852",
            "fax_number": "860-674-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TALCOTT NOTCH RD",
            "address_2": "SUITE 101",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321800",
            "telephone_number": "860-674-1852",
            "fax_number": "860-674-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEANNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1243160",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "3378723",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "080004017CT30",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.