Lauren Thompson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA005188 Issued in GA

Practice address

123 Canal St
Pooler, GA 31322-4103

Phone

(912) 988-1283

NPI assigned

Jan 3, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1245000116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 E SERVICE RD",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953079701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CANAL ST",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224103",
            "telephone_number": "912-988-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA005188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shariske D Thomas, LMSW
• Tyree Jarell Thomas
• Cassaundra Thompson, LPC
• Kelli Marie Thompson
• Kristan Anne Thompson, APRN
• Layna Brenae Thompson, LCSW, LISW-CP
• Thrive Integrated Neuropsychological Services
• Felicia Tilles
• Andrea M Tillman, LMSW
• Mikayla Tillman, PT, DPT

• Physical Therapy Assistant in Pooler, GA
• Providers in Pooler, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.