Mariah Thompson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05015446A Issued in IN

Practice address

401 15TH St SE Ste 11-12
Demotte, IN 46310-9043

Phone

(219) 987-3073

NPI assigned

Feb 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mariah Kinney Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rci (WRS), LLC.

  • Physical Therapy Clinic/Center
  • Mishawaka, IN
  • NPI 1619583044

  Physical Therapist

  Medicare reassignment NPD
• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Physical Therapy Clinic/Center
  • Plymouth, IN
  • NPI 1568187102
  NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1235992256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BISCAYNE ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463857339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 15TH ST SE STE 11-12",
            "city": "DEMOTTE",
            "state": "IN",
            "postal_code": "463109043",
            "telephone_number": "219-987-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015446A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "KINNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Edward Michael Strauss
• Summit Therapy Services
• Surya K Nallari MD
• Michael Swart, RPH
• Jennifer Thomas
• Mackenna Lee Vandertuin
• Cheryl Vandeursen, CNM
• Vitae Health Medical Indiana LLC
• Walgreen Co (Walgreens #12640)
• Marissa Warren

• Physical Therapist in Demotte, IN
• Providers in Demotte, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.