Individual provider Active NPI

Jennifer Ellis Thomas, PT

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1548534753
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH3475 Issued in AL
Practice address
13028 Coys Dr SE
Huntsville, AL 35803-2406
Phone
(256) 509-6295
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH3475 AL Primary

Addresses

Primary practice location

13028 Coys Dr SE
Huntsville, AL 35803-2406

Mailing address

13028 Coys Dr SE
Huntsville, AL 35803-2406
Phone (256) 509-6295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323000520 AL Practitioner - Physical Therapist in Private Practice 4587071360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of South Alabama College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Achievements, LLCGroup PAC ID 5991865172, 13 clinicians

Practice addresses (Care Compare)

802 Shoney Dr SW
Suite C
Huntsville, AL 35801-5435
Phone (256) 509-4398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH3475ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Achievements, LLC Physical Therapist CurrentSince Jan 21, 2021 Accepting new patients

Locations

3601 Cci Dr NW
Ste 270
Huntsville, AL 35805
Phone (256) 509-4398

802 Shoney Dr SW
Ste C
Huntsville, AL 35801
Phone (256) 509-4398

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1548534753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13028 COYS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032406",
            "telephone_number": "256-509-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13028 COYS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358032406",
            "telephone_number": "256-509-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JENNIFER",
        "middle_name": "ELLIS",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH3475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.