Aubrey Glenn Thompson Jr., PT
Individual provider Active NPI Physical Therapist · Crossville, TN
NPI 1568636397 · NPPES record last updated Apr 5, 2019
Key facts
- NPI
- 1568636397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6104 (TN)
- Practice address
- 115 Cumberland PLZ
Crossville, TN 38555-4292 - Phone
- (931) 787-1244
- Fax
- (931) 787-1245
- NPI assigned
- Apr 14, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agilitas USA, Inc
Results-Ast JV LLC
Practice addresses (Care Compare)
115 Cumberland PLZ
Crossville, TN 38555-4292
Phone (931) 787-1244
222 22ND Ave N
Suite 100
Nashville, TN 37203-1852
Phone (615) 440-3124
4929 Peavine Rd
Suite 101
Crossville, TN 38571-7995
Phone (931) 484-7442
5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080624000651 | TN | Practitioner - Physical Therapist in Private Practice | 3476624164 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT6104 | TN | MD | Physical Therapist |
| 6104 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy | Current |
Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients | |
| Independent Physical Therapy | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
115 Cumberland Plz
Crossville, TN 38555
Phone (931) 787-1244
820 Scenic Hwy
Ste B
Lookout Mtn, TN 37350
Phone (423) 825-1393
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
222 22nd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 284-2222
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT6104 | TN | Yes |
Addresses
Primary practice location
115 Cumberland PLZ
Crossville, TN 38555-4292
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other practice location 1
112 Bradford Blvd Ste 500
Gordonsville, TN 38563-4618
Phone (615) 683-3490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446652 | Medicaid | TN | |
| 3156797 | Other | TN | BCBST GROUP # |
| P00626473 | Other | TN | RAILROAD |
Other providers in Crossville, TN
- The Evangelical Lutheran Good Samaritan Society
- The Group for Women LLC
- The Hearing Group LLC
- Therapy.Works LLC
- Marcie Thomas
- Jennifer Marie Thompson
- Nichole Thompson
- April L Thornton
- Karen Marion Thrasher
- Naomi Gail Threet
All providers in Crossville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.