Active NPI
Jane Louise Thompson, PHYSICAL THERAPIST M
- Physical Therapist
- Richmond, VA
National Provider Identifier
1629293337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305003743
- Practice address
- 1201 Broad Rock Blvd
Dept of Veterans Affiars Medical Ctr
Richmond, VA 23249 - Phone
- (804) 675-5326
- NPI assigned
- Apr 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305003743 | VA | Primary |
Addresses
Primary practice location
1201 Broad Rock Blvd
Dept of Veterans Affiars Medical Ctr
Richmond, VA 23249
Mailing address
1201 Broad Rock Blvd
Physical Therapy Dept of Veterans Affiars Medical Ctr
Richmond, VA 23249
Phone (804) 675-5326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003743 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629293337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"address_2": "PHYSICAL THERAPY DEPT OF VETERANS AFFIARS MEDICAL CTR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD",
"address_2": "DEPT OF VETERANS AFFIARS MEDICAL CTR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JANE",
"middle_name": "LOUISE",
"credential": "PHYSICAL THERAPIST M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305003743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.