Michael Ryan Thompson, LAT, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0446 Issued in NH

Practice address

931 Boston Rd
Haverhill, MA 01835-6927

Phone

(978) 373-1596

NPI assigned

Sep 27, 2016

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)

Not 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 and National Provider Directory roles.

• Cedardale Inc.

  • Health Service Clinic/Center
  • Haverhill, MA
  • NPI 1104229574
  NPD (past)
• Neuro Rehab Associates, Inc

  • Rehabilitation Hospital
  • Salem, NH
  • NPI 1255354288
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1225587694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 MORGAN DR",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030422542",
            "telephone_number": "207-735-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BOSTON RD",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018356927",
            "telephone_number": "978-373-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LAT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of Greater Haverhill-Newburyport
• The Oxford
• Beverly S Therkelsen
• Ashley Paige Theroux, NP
• Michael Thiim, M.D.
• Rebecca Ann Thompson, OTR/L
• Zachary William Thompson, LMHC
• Thrive Hive Wellness LLC
• Thrive Rehab Services, PLLC
• Julie Lynn Thurston, BA

• Athletic Trainer in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Athletic Trainer in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.