Individual provider Active NPI

Mark Allen Thompson, OTR/L

  • Occupational Therapist
  • Joplin, MO
National Provider Identifier
1548417538
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
005359 Issued in MO
Practice address
201 S Northpark LN
Joplin, MO 64801-8426
Phone
(417) 623-4313
Fax
(471) 621-0129
NPI assigned
Aug 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 005359 MO Primary

Addresses

Primary practice location

201 S Northpark LN
Joplin, MO 64801-8426

Mailing address

201 S Northpark LN
Joplin, MO 64801-8426
Phone (417) 623-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117003869 MO Practitioner - Occupational Therapist in Private Practice 2961854708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Key Rehabilitation IncGroup PAC ID 9638086432, 59 clinicians

Practice addresses (Care Compare)

300 W Airport Dr
Carthage, MO 64836-3583
Phone (417) 246-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005359MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Key Rehabilitation Inc Occupational Therapist CurrentSince Nov 21, 2023 Accepting new patients
Key Rehabilitation,Inc. Current Accepting new patients
Key Rehabilitation, Inc CurrentSince Nov 21, 2023 Accepting new patients

Locations

620 N Jefferson St
Saint James, MO 65559
Phone (573) 265-0448

1335 NW Broad St
Murfreesboro, TN 37129
Phone (615) 983-0240

Organizations & group practices 3

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1548417538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S NORTHPARK LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648018426",
            "telephone_number": "417-623-4313",
            "fax_number": "471-621-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S NORTHPARK LN",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648018426",
            "telephone_number": "417-623-4313",
            "fax_number": "471-621-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "005359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.