Active NPI
Steven William Thompson, MPT, OCS, CSCS
- Orthopedic Physical Therapist
- San Anselmo, CA
National Provider Identifier
1427016401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT20674
- Practice address
- 220 Greenfield Ave
San Anselmo, CA 94960-2416 - Phone
- (415) 457-4454
- Fax
- (415) 457-4944
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT20674 | CA | Primary |
Addresses
Primary practice location
220 Greenfield Ave
San Anselmo, CA 94960-2416
Mailing address
220 Greenfield Ave
San Anselmo, CA 94960-2416
Phone (415) 457-4454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20674 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novato Back Care and Sports Physical Therapy | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopedic Physical Therapist
- Novato, CA
- NPI 1093945230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224201600000",
"number": "1427016401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 GREENFIELD AVE",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949602416",
"telephone_number": "415-457-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 GREENFIELD AVE",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949602416",
"telephone_number": "415-457-4454",
"fax_number": "415-457-4944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "STEVEN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MPT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2008-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT20674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Anselmo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.