Individual provider Active NPI

Rodney Thomas, PT

  • Physical Therapist
  • Yuma, AZ
National Provider Identifier
1407914799
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3625 Issued in AZ
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

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
364448MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
3625AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gemini Physical Therapy and Rehabilitation LLC Physical Therapist CurrentSince Aug 11, 2009 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.

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.

Verify at the official NPI Registry.