Active NPI
Carla Scott Thompson
- Physical Therapist
- Maple Heights, OH
National Provider Identifier
1508802398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001932
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001932 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rehabilitation Clinic/Center
- Willoughby Hills, OH
- NPI 1730466244
-
- Clinic/Center
- Maple Heights, OH
- NPI 1669522074
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.