Active NPI
Natalie Thomas, PT, DPT
- Physical Therapist
- Lubbock, TX
National Provider Identifier
1225487382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1234297
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1234297 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Re Active Physical Therapy and Wellness | Current | 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.
-
- Neurology Physical Therapist
- Los Angeles, CA
- NPI 1952650475
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.