Jelica Thomassen, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2099683 Issued in TX

Practice address

301 Holleman Dr E Apt 832
College Station, TX 77840-7048

Phone

(941) 544-2334

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1508288564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HOLLEMAN DR. E #832",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "941-544-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HOLLEMAN DR E APT 832",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778407048",
            "telephone_number": "941-544-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASSEN",
        "first_name": "JELICA",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2099683",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "24097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elaine Thomas, ATC, LAT, LMT
• Meora L Thomas, LVN
• Meredith Landry Thomas, PTA
• Teresa M Thomas, CCSH
• Karen Patricia Thomason, CCC-SLP
• Alyssa Thompson, RN
• Kyle Don Thompson, LAT, ATC
• Melinda Morrow Thompson, LPC
• Kelli D Thornton, P.T.
• Kylie Thornton

• Physical Therapy Assistant in College Station, TX
• Providers in College Station, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.