Tara Lynn Thompson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056003670 Issued in IL

Practice address

2738 W North Ave
Chicago, IL 60647-9500

Phone

(773) 292-9380

Fax

(773) 292-9381

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

No

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 FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Rehab IncGroup PAC ID 8527197441, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Revive Rehab Inc

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1962734210

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Liberty Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Chicago, IL
  • NPI 1710930383
  NPD (past)

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1497909527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2738 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479500",
            "telephone_number": "773-770-6500",
            "fax_number": "773-292-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2738 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479500",
            "telephone_number": "773-292-9380",
            "fax_number": "773-292-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherece Balark Thompson, DDS
• Stephanie A Thompson, M.S., CCC-SLP
• Tacadia Thompson, LSW, CD
• Taja Laniece Thompson, PA-C
• Tanya Devon Thompson
• Tiara Thompson, NURSE PRACTITIONER
• Trevonne M. Thompson, M.D.
• Amari Thomsen
• Daniel Thomson, M.D.
• Rachel Thomson, MS, RDN, LDN

• Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.