Organization Active NPI

Thompson Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Gainesville, FL
National Provider Identifier
1366968174
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT29245 Issued in FL
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.