Individual provider Active NPI

Sharon Thompson, PT

  • Physical Therapist
  • Corydon, IN
National Provider Identifier
1588029508
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05014997A Issued in IN
Practice address
173 Pacer Dr NW
Corydon, IN 47112-2144
Phone
(812) 734-1918
Fax
(812) 734-1921
NPI assigned
Dec 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05014997A IN
Physical Therapist 225100000X PT5557 MS
Physical Therapist 225100000X 05014997A IN Primary

Addresses

Primary practice location

173 Pacer Dr NW
Corydon, IN 47112-2144

Mailing address

173 Pacer Dr NW
Corydon, IN 47112-2144
Phone (812) 734-1918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160205001978 MS Practitioner - Physical Therapist in Private Practice 9335443605 Reassigns benefits to 1 organization
I20230911001805 IN Practitioner - Physical Therapist in Private Practice 9335443605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLC 339 clinicians

Practice addresses (Care Compare)

173 Pacer Dr NW
Corydon, IN 47112-2144
Phone (812) 734-1918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5557MSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 1, 2023 Accepting new patients
Medical Foundation of Central Mississippi, Inc. Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 1, 2023 Accepting new patients
Medical Foundation of Central Ms CurrentSince Jan 1, 2016 Accepting new patients
Baptist Medical Clinic - Convenient Care CurrentSince Jan 1, 2016 Accepting new patients

Locations

325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231

173 Pacer Dr NW
Corydon, IN 47112
Phone (502) 964-5404

173 Pacer Dr NW
Ste 117
Corydon, IN 47112

1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705

108 Clinton Pkwy
Clinton, MS 39056
Phone (601) 926-2018

151 E Metro Dr
Ste 202
Flowood, MS 39232
Phone (601) 973-1507

4301 Lakeland Dr
Flowood, MS 39232
Phone (601) 939-7010

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

7273 S Siwell Rd
Jackson, MS 39272
Phone (601) 372-8223

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

6250 Old Canton Rd
Ste 130
Jackson, MS 39211
Phone (601) 956-7280

1200 N State St
Ste 210
Jackson, MS 39202
Phone (601) 714-3202

401 Baptist Dr
Ste 306
Madison, MS 39110
Phone (601) 607-7204

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

746 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 746-4032

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1588029508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 PACER DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122144",
            "telephone_number": "812-734-1918",
            "fax_number": "812-734-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 PACER DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471122144",
            "telephone_number": "812-734-1918",
            "fax_number": "812-734-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHARON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "05014997A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5557",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05014997A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.