Individual provider Active NPI

Michelle Thompson

  • Physical Therapy Assistant
  • Cape May, NJ
National Provider Identifier
1538612502
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00380500 Issued in NJ
Practice address
700 Town Bank Rd
Cape May, NJ 08204-4411
Phone
(609) 898-8899
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00380500 NJ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

700 Town Bank Rd
Cape May, NJ 08204-4411

Mailing address

700 Town Bank Rd
Cape May, NJ 08204-4411

Other practice location 1

29 Alexander Dr
Washingtonville, NY 10992-1203
Phone (845) 492-0271

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40QB00380500NJMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1538612502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TOWN BANK RD",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082044411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 TOWN BANK RD",
            "city": "CAPE MAY",
            "state": "NJ",
            "postal_code": "082044411",
            "telephone_number": "609-898-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Alexander Dr",
            "address_purpose": "LOCATION",
            "city": "Washingtonville",
            "state": "NY",
            "postal_code": "109921203",
            "country_code": "US",
            "telephone_number": "845-492-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00380500",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2021; 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.