Athina Thorson, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30892 Issued in AZ

Practice address

4700 N 16TH St Apt 445
Phoenix, AZ 85016-4448

Phone

(630) 990-0108

NPI assigned

Mar 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Athina Ajazi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1487047528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CHESNEY DR",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605542238",
            "telephone_number": "630-999-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 16TH ST APT 445",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164448",
            "telephone_number": "630-990-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "ATHINA",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ATHINA",
            "last_name": "AJAZI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jill Manya Thornton, SLPA
• Julia Joyce Thorp, RN
• David Huntington Thorpe, MD
• Matthew-Sean Gayahan Thorpe, PHARMD
• Patricia E Thorpe, MD
• Jennifer Suzanne Thorson, LPC, CRC, CPRP
• Robert Thorson, PT, DPT
• Eileen Louise Thorstad, COTA
• Cody Lee Thorstenson, M.D.
• Carol M Thrall, PNP

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.