Individual provider Active NPI

Kirsten Jordan Thompson, RPT

  • Physical Therapist
  • West Columbia, SC
National Provider Identifier
1356308241
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3101 Issued in SC
Practice address
1311 Augusta Rd
West Columbia, SC 29169-6320
Phone
(803) 926-7204
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 3101 SC Primary

Addresses

Primary practice location

1311 Augusta Rd
West Columbia, SC 29169-6320

Mailing address

1311 Augusta Rd
West Columbia, SC 29169-6320
Phone (803) 926-7204

Other practice location 1

1900 Sunset Blvd
West Columbia, SC 29169-5932
Phone (803) 926-7204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000040 SC Practitioner - Physical Therapist in Private Practice 7517989585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Sigurd Center for Ortho and Neuro RehabGroup PAC ID 0547277063, 11 clinicians

Practice addresses (Care Compare)

1311 Augusta Rd
West Columbia, SC 29169-6320
Phone (803) 926-7204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3101SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Sigurd Center for Ortho & Neuro Rehab Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
Key Changes Therapy Services, Inc Physical Therapist PastSince Feb 7, 2018 Accepting new patients
Medsource Inc. PastSince Mar 8, 2006 Accepting new patients

Locations

1900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 250-6833

1311 Augusta Rd
West Columbia, SC 29169
Phone (803) 926-2919

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1356308241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 AUGUSTA RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696320",
            "telephone_number": "803-926-7204",
            "fax_number": "803-926-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 AUGUSTA RD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696320",
            "telephone_number": "803-926-7204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291695932",
            "country_code": "US",
            "telephone_number": "803-926-7204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KIRSTEN",
        "middle_name": "JORDAN",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.