Jacey Lane Thomson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4367 Issued in OK

Practice address

1071 W Blue Starr Dr Ste 105
Claremore, OK 74017-2869

Phone

(918) 283-2992

Fax

(918) 283-2952

NPI assigned

Feb 10, 2012

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

Other identifiers 1

Other names 1

• Jacey Lane Hendricks Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopedics of Oklahoma PLLCGroup PAC ID 8426320912, 90 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

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.

• Advanced Orthopedics of Oklahoma PLLC

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1235676453

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Orthopedics of Oklahoma PLLC

  • Orthopaedic Surgery Physician
  • Owasso, OK
  • NPI 1104663996

  Physical Therapist

  NPD

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1386917029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-494-9341",
            "fax_number": "918-494-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 W BLUE STARR DR STE 105",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172869",
            "telephone_number": "918-283-2992",
            "fax_number": "918-283-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "JACEY",
        "middle_name": "LANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-10",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200423090A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACEY",
            "last_name": "HENDRICKS",
            "middle_name": "LANE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Cathleen Thompson, PTA
• Christina Dawn Thompson
• Kelly S Thompson, BSN, RN
• Kristy Thompson
• Rhonda Thompson
• Madison Thrasher, PHARMD
• Brady Jonathon Thumann
• Lacie Tincher
• Madilynn Paige Tolman
• Ali Torabi, D.D.S.

• Physical Therapist in Claremore, OK
• Providers in Claremore, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.