Active NPI
Scott Jake Thompson, PT, ATC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Forks, ND
National Provider Identifier
1467462127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 1477
- Practice address
- 2751 2ND Ave N Stop 9013
Grand Forks, ND 58202-9013 - Phone
- (701) 777-4845
- Fax
- (701) 777-2536
- NPI assigned
- Aug 8, 2006
- Last updated
- Sep 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 1477 | ND | Primary |
| Physical Therapist | 225100000X | 1477 | ND |
Addresses
Primary practice location
2751 2ND Ave N Stop 9013
Grand Forks, ND 58202-9013
Mailing address
725 Hamline St Ste 1200
Grand Forks, ND 58203-2819
Phone (701) 777-6732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-6002491 | Other | ND | TAX-ID |
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 |
|---|---|---|---|
| 1477 | ND | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodylink, Frisco, Inc. | Physical Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ZOOM Sports, Inc.
- Physical Therapy Clinic/Center
- Frisco, TX
- NPI 1205964632
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1467462127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 HAMLINE ST STE 1200",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032819",
"telephone_number": "701-777-6732",
"fax_number": "701-777-2536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 2ND AVE N STOP 9013",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582029013",
"telephone_number": "701-777-4845",
"fax_number": "701-777-2536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SCOTT",
"middle_name": "JAKE",
"name_prefix": "Mr.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "ND",
"license": "1477",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1477",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX-ID",
"identifier": "45-6002491",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.