Individual provider Active NPI

Monique Thompson, DPT

  • Physical Therapist
  • Ridgeland, MS
National Provider Identifier
1255631222
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4772 Issued in MS
Practice address
7048 Old Canton Rd Ste 1000
Ridgeland, MS 39157-1008
Phone
(769) 300-4143
NPI assigned
Oct 25, 2010
Last updated
Aug 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 PT4772 MS Primary

Addresses

Primary practice location

7048 Old Canton Rd Ste 1000
Ridgeland, MS 39157-1008

Mailing address

108 Addison Way
Canton, MS 39046-3369
Phone (767) 300-4143

Other practice location 1

2475 Lakeland Dr Ste A
Jackson, MS 39232-9505
Phone (601) 636-6019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Motion Physical Therapy LLC Physical Therapist Current Accepting new patients
Visions Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1255631222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ADDISON WAY",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390463369",
            "telephone_number": "767-300-4143",
            "fax_number": "769-300-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 OLD CANTON RD STE 1000",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571008",
            "telephone_number": "769-300-4143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2475 Lakeland Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392329505",
            "country_code": "US",
            "telephone_number": "601-636-6019",
            "fax_number": "601-661-8457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MONIQUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.