Jennifer Allison Thibodeau, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305831302 Issued in VA

Practice address

480 W Jubal Early Dr
Suite 310
Winchester, VA 22601-6446

Phone

(540) 450-0680

Fax

(540) 450-0681

NPI assigned

Jul 20, 2005

Last updated

Apr 4, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Personal Physical Therapy Services

  • Physical Therapist
  • Winchester, VA
  • NPI 1609081256
  Medicare reassignment NPD Authorized official
• Body Elite Physical Therapy Inc

  • Specialist
  • Winchester, VA
  • NPI 1659430882
  NPD (past)

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1497754501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W JUBAL EARLY DR",
            "address_2": "SUITE 310",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016446",
            "telephone_number": "540-450-0680",
            "fax_number": "540-450-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W JUBAL EARLY DR",
            "address_2": "SUITE 310",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016446",
            "telephone_number": "540-450-0680",
            "fax_number": "540-450-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "JENNIFER",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305831302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Wellness Pharmacy
• Jordyn Kathryn Thiery, OT
• Carol A Thomas, CRNA
• Ellena Mae Thomas, PA
• Gretchen E Thomas, PT, DPT
• Jacqueline Nicole Thomas, RN

• Physical Therapist in Winchester, VA
• Providers in Winchester, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.