Courtney Renee Thor, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2123 Issued in AL

Practice address

3230 Stadium Tower
Troy, AL 36082-0001

Phone

(334) 670-3720

NPI assigned

Sep 4, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Troy University

  • Internal Medicine Physician
  • Troy, AL
  • NPI 1780055038
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1528540887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TAYLOR PL",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360798250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 STADIUM TOWER",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360820001",
            "telephone_number": "334-670-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOR",
        "first_name": "COURTNEY",
        "middle_name": "RENEE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AL",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letara Thomas
• Barbara W Thompson, DDS
• Dorothy Irick Thompson, CRNP
• Lamar Alan Thompson III, DMD
• Trina Gould Thompson, M.S., CCC-A
• Madison Tibbets
• McKenzie S Tidwell, LPC
• Taylor Tinney
• Lucretia Michelle Tolbert, M.S. ALC
• Tenisha N Tolbert

• Athletic Trainer in Troy, AL
• Providers in Troy, AL by specialty
• Athletic Trainer in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.