Trevor Thompson, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002851 Issued in VA

Practice address

Old Dominion University 5115 Hampton Blvd
Norfolk, VA 23529-0001

Phone

(973) 525-5122

NPI assigned

Feb 19, 2018

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

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1326548140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CRESCENT DR",
            "city": "LAKE HOPATCONG",
            "state": "NJ",
            "postal_code": "078491337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD DOMINION UNIVERSITY 5115 HAMPTON BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235290001",
            "telephone_number": "973-525-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TREVOR",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Thompson, LPTA
• Lenora Hicks Thompson, LPC
• Meghan Jeanne Thompson
• Renetta Thompson
• Tracy Thompson Thompson, MD
• Tyler Thompson, PHARMD
• Kelly Ann Sasha Thomson, M.B.,B.S.
• Natalie Thomson
• Julia Thoppil
• Samantha Nicole Thorleifson, CRNA

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.