Jeffrey Jospeh Thieret, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20000158796 Issued in MO

Practice address

150 S Mount Auburn Rd
Cape Girardeau, MO 63703-4910

Phone

(573) 331-5153

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• Premier Physical Therapy & Rehab, LLC.

  • Physical Therapist
  • Cape Girardeau, MO
  • NPI 1689605867
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205059904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ALPINE DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034910",
            "telephone_number": "573-331-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIERET",
        "first_name": "JEFFREY",
        "middle_name": "JOSPEH",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "20000158796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Orthopedic Center - Cape Girardeau, LLC
• The Tailor Institute, Inc.
• Maegan Thibodeaux
• Carol Thiele, M.S.
• Samantha Nicole Thienes
• Kory P. Thoma, O.D.
• Thomas M. Gibbons, OD, LLC
• Crystal Thomas, FNP-BC
• Michael Evan Thomas, M.D.
• Michelle Diane Thomas

• Physical Therapist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Physical Therapist in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.