Donisha Thompson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.005648 Issued in IL

Practice address

2145 State St
Granite City, IL 62040-4726

Phone

(618) 671-9444

NPI assigned

Apr 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

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.

• Terrific Therapy and Care LLC

  • Health Service Clinic/Center
  • Glen Carbon, IL
  • NPI 1750181566

  Occupational Therapy Assistant

  Medicare reassignment NPD Authorized official
• Reinvent Health Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1215763206
  Medicare reassignment NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1568044741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 STATE ST",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 STATE ST",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404726",
            "telephone_number": "618-671-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DONISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17451",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.005648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Clinicsource",
            "affiliation": "N",
            "endpointDescription": "Online software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1031 NW 23rd Ave",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333115736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Noah Matthew Tennyson, PHARM.D.
• The Hope Clinic for Women, LTD
• The Hope Clinic for Women, LTD
• Leyland Arthur Thomas, MD
• Stephanie Michelle Thomas
• Thwan H. Han MD LTD
• Kate E Timmermann
• Kayla Tompkins, PHARMD
• Total Renal Care Inc
• Trotts Reliable Transportation LLC

• Occupational Therapy Assistant in Granite City, IL
• Providers in Granite City, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.