Individual provider Active NPI

Stephen Richard Thompson, PT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1336285360
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1168642 Issued in TX
Practice address
1355 Helicopter Rd
Virginia Beach, VA 23459-8937
Phone
(757) 763-2194
NPI assigned
Jan 29, 2007
Last updated
May 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 1168642 TX Primary

Addresses

Primary practice location

1355 Helicopter Rd
Virginia Beach, VA 23459-8937

Mailing address

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247-4215
Phone (210) 590-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513000258 TX Practitioner - Physical Therapist in Private Practice 0648513721 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Apr 17, 2019 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Apr 15, 2019 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Apr 17, 2019 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Apr 15, 2019 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

430 W Sunset Rd
Ste 430
San Antonio, TX 78209
Phone (210) 253-3450

Organizations & group practices 5

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1336285360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD",
            "address_2": "STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "210-590-4000",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 HELICOPTER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234598937",
            "telephone_number": "757-763-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1168642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.