Benjamin Robert Thompson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301021 Issued in CA

Practice address

4990 Hillsdale Cir Ste 100
El Dorado Hills, CA 95762-5770

Phone

(916) 905-6378

NPI assigned

Aug 9, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Arvada Sport and Spine Group

  • Multi-Specialty Clinic/Center
  • Arvada, CO
  • NPI 1215953864
  NPD
• Kime Performance Nevada LLC

  • Physical Therapy Clinic/Center
  • Reno, NV
  • NPI 1053918185
  NPD (past)

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1396419776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 HILLSDALE CIR STE 100",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 HILLSDALE CIR STE 100",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957625770",
            "telephone_number": "916-905-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301021",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shouayeng Thao
• The Collaborative Village of Professional Clinical Counselors, Inc
• The Cottonwood School
• The O'Bryan Company Inc
• Therapeutic Nursing Services, Inc.
• David Brian Thompson, D.D.S.
• Madeline Claire Thompson
• Stacie Nicole Thum, MSN, FNP-C
• Kambria Thurman
• Rebecca Ann-Meyers Tippens

• Physical Therapist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.