Active NPI
Thompson Physical Therapy, PLLC
- Physical Therapy Clinic/Center
- Gainesville, FL
National Provider Identifier
1366968174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT29245
- Legal business name
- THOMPSON PHYSICAL THERAPY, PLLC
- Practice address
- 4620 NW 39TH Ave Ste B
Gainesville, FL 32606-5952 - Phone
- (352) 281-9660
- Fax
- (888) 726-9247
- NPI assigned
- Aug 15, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Thompson, PT
- Title
- Physical Therapist/Owner
- Phone
- (352) 281-9660
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT29245 | FL | Primary |
Addresses
Primary practice location
4620 NW 39TH Ave Ste B
Gainesville, FL 32606-5952
Mailing address
4620 NW 39TH Ave Ste B
Gainesville, FL 32606-5952
Phone (352) 281-9660
Other practice location 1
2131 NW 40th Ter Ste C
Gainesville, FL 32605-5800
Phone (352) 281-9660
Other practice location 2
2131 NW 40th Ter Ste C
Gainesville, FL 32605-5800
Phone (352) 281-9660
National Provider Directory
National Provider DirectoryLocations
4620 NW 39th Ave
Ste B
Gainesville, FL 32606
Phone (352) 256-2151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1366968174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 NW 39TH AVE STE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326065952",
"telephone_number": "352-281-9660",
"fax_number": "888-726-9247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 NW 39TH AVE STE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326065952",
"telephone_number": "352-281-9660",
"fax_number": "888-726-9247"
}
],
"practiceLocations": [
{
"address_1": "2131 NW 40th Ter Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326055800",
"country_code": "US",
"telephone_number": "352-281-9660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2131 NW 40th Ter Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326055800",
"country_code": "US",
"telephone_number": "352-281-9660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THOMPSON PHYSICAL THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-15",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "352-281-9660",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT29245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.