Robert William Thompson, PTA
Individual provider Active NPI Physical Therapy Assistant · Independence, VA
NPI 1548508328 · NPPES record last updated Feb 1, 2013
Key facts
- NPI
- 1548508328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306602148 (VA)
- Practice address
- 400 S Independence Ave
Independence, VA 24348-3972 - Phone
- (276) 773-9447
- Fax
- (276) 773-9447
- NPI assigned
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602148 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602148 | VA | Yes |
Addresses
Primary practice location
400 S Independence Ave
Independence, VA 24348-3972
Mailing address
500 Dover St
Marion, VA 24354-1855
Phone (276) 233-1521
Other providers in Independence, VA
- Stevie Siford
- SP Grayson, LLC
- Thomas Gordon Stoneman II
- Ryan Anthony Tauzell
- Deairra Thompson
- Thorne Medical Services, LTD
- Tri Area Community Health
- Sarah Rebecca Triplett
- Virginia Highlands Orthopaedic Spine Center, LLC
- Walters Drug Inc
All providers in Independence, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.