Gauthama Thompson, D.C., C.C.S.P.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CR1066 Issued in ME

Practice address

344 Hancock St
Suite 1
Rumford, ME 04276-1937

Phone

(207) 364-7931

Fax

(207) 364-3644

NPI assigned

Apr 10, 2006

Last updated

Oct 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Gauthama Thompson, River Valley Chiropractic, P.a.

  • Chiropractor
  • Rumford, ME
  • NPI 1891901252
  Authorized official Same address or phone

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1487617692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HANCOCK ST",
            "address_2": "SUITE 1",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761937",
            "telephone_number": "207-364-7931",
            "fax_number": "207-364-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 HANCOCK ST",
            "address_2": "SUITE 1",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042761937",
            "telephone_number": "207-364-7931",
            "fax_number": "207-364-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GAUTHAMA",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "ME",
            "license": "CR1066",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "CR1066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall James Smith, R.PH.
• Chelsea Lynn Steele, CADC
• Stephen Garbarini D.C. LLC
• Kimberly Anne Swasey, P.T.
• Lori Thibault, CRNA
• Kayla Marie Thorpe, RN
• Togus Vamc
• Lisa Torgersen, MD
• Mary Wainwright, CADC
• Walgreen Eastern Co Inc (Walgreens #17159)

• Sports Physician Chiropractor in Rumford, ME
• Providers in Rumford, ME by specialty
• Sports Physician Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.