Active NPI
Rodney Thomas, PT
- Physical Therapist
- Yuma, AZ
National Provider Identifier
1407914799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3625
- Practice address
- 3763 W 18TH St
Yuma, AZ 85364-4947 - Phone
- (928) 246-2865
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3625 | AZ | Primary |
Addresses
Primary practice location
3763 W 18TH St
Yuma, AZ 85364-4947
Mailing address
3763 W 18TH St
Yuma, AZ 85364-4947
Phone (928) 246-2865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364448 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070226000648 | AZ | Practitioner - Physical Therapist in Private Practice | 0840392676 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3763 W 18TH St
Yuma, AZ 85364-4947
Phone (928) 246-2865
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3625 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gemini Physical Therapy and Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Assisted Living Concepts Inc | Past | Accepting new patients |
Locations
11510 S Fortuna Rd
Ste A
Yuma, AZ 85367
Phone (928) 342-7046
4343 E 31st Pl
Yuma, AZ 85365
Phone (928) 246-2865
Organizations & group practices 2
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.
-
- Physical Therapist
- Yuma, AZ
- NPI 1245357219
AZ, Physical Therapist
-
- Assisted Living Facility
- Yuma, AZ
- NPI 1922124494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1407914799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3763 W 18TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853644947",
"telephone_number": "928-246-2865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3763 W 18TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853644947",
"telephone_number": "928-246-2865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "RODNEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "364448",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.