Individual provider Active NPI

Carla Scott Thompson

  • Physical Therapist
  • Maple Heights, OH
National Provider Identifier
1508802398
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001932 Issued in OH
Practice address
20676 Southgate Park Blvd
Suite 100
Maple Heights, OH 44137-2953
Phone
(216) 663-5680
Fax
(216) 663-5690
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001932 OH Primary

Addresses

Primary practice location

20676 Southgate Park Blvd
Suite 100
Maple Heights, OH 44137-2953

Mailing address

37421 Hunters Ridge Rd
Solon, OH 44139-2534
Phone (440) 248-9169

Other names 1

  • Ms. Carla Scott Thompson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001932OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southgate Occupational Medicine and Therapy Past Accepting new patients
Perfect Balance Massage Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508802398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37421 HUNTERS RIDGE RD",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392534",
            "telephone_number": "440-248-9169",
            "fax_number": "440-248-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20676 SOUTHGATE PARK BLVD",
            "address_2": "SUITE 100",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372953",
            "telephone_number": "216-663-5680",
            "fax_number": "216-663-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARLA",
        "middle_name": "SCOTT",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "001932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "THOMPSON",
            "middle_name": "SCOTT",
            "prefix": "MS.",
            "credential": "L.P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.