Individual provider Active NPI

Natalie Thomas, PT, DPT

  • Physical Therapist
  • Lubbock, TX
National Provider Identifier
1225487382
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1234297 Issued in TX
Practice address
4321 Marsha Sharp Fwy
Door #3
Lubbock, TX 79407-2504
Phone
(806) 788-0131
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 1234297 TX Primary

Addresses

Primary practice location

4321 Marsha Sharp Fwy
Door #3
Lubbock, TX 79407-2504

Mailing address

11500 W Olympic Blvd
Ste 415
Los Angeles, CA 90064-1536
Phone (424) 225-1845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161014001508 CA Practitioner - Physical Therapist in Private Practice 6901194521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Re Active Physical Therapy and WellnessGroup PAC ID 4183872740, 14 clinicians

Practice addresses (Care Compare)

11500 W Olympic Blvd
Suite 640
Los Angeles, CA 90064-1525
Phone (310) 433-0369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1234297TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Re Active Physical Therapy and Wellness CurrentSince Jan 4, 2020 Accepting new patients

Locations

11500 W Olympic Blvd
Ste 640
Los Angeles, CA 90064
Phone (310) 433-0369

11500 W Olympic Blvd
Ste 415
Los Angeles, CA 90064
Phone (310) 433-0369

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1225487382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD",
            "address_2": "STE 415",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641536",
            "telephone_number": "424-225-1845",
            "fax_number": "310-933-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 MARSHA SHARP FWY",
            "address_2": "DOOR #3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072504",
            "telephone_number": "806-788-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NATALIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1234297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.