Rebecca I Thomas, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29020 Issued in FL

Practice address

10 W Grove Ave
Lake Wales, FL 33853-4516

Phone

(866) 711-6594

NPI assigned

Aug 29, 2022

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1336869718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DEEN BLVD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338232537",
            "telephone_number": "863-667-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W GROVE AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534516",
            "telephone_number": "866-711-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "REBECCA",
        "middle_name": "I",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Tower Ridge Group LLC
• Emily Morgan Thomas, MS, CCC-SLP
• Felicia Thomas
• Jasmine Monique Thomas, OT
• Panchami Thomas, APRN
• Taylor Lea Thomas, CBHCMS 100732
• Ally G Thompson
• Ila Karen Thompson
• Katrina Thompson
• La'Tricia Thompson

• All providers in Lake Wales, FL
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.