Jack Thompson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH7277 Issued in AL

Practice address

3004 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2317

Phone

(205) 744-9993

Fax

(205) 744-9225

NPI assigned

Aug 26, 2014

Last updated

Aug 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear, Nose and Throat Physicians of North Miss., P.aGroup PAC ID 8729053343, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.93 of 100Reported as group

Quality

74.06

Promoting interoperability

85

Improvement activities

40

Cost

81.53

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ear, Nose & Throat Physicians of North Miss., P.a.

  • Otolaryngology Physician
  • Tupelo, MS
  • NPI 1861507311
  Medicare reassignment Care Compare group NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Oxford, MS
  • NPI 1477224814

  Physical Therapist

  Medicare reassignment NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Therapy South Athens LLC

  • Physical Therapist
  • Athens, GA
  • NPI 1740696764
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1649670845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 GREYSTN COM BLVD",
            "address_2": "SUITE 34",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429600",
            "telephone_number": "205-745-3660",
            "fax_number": "205-408-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 ALLISON BONNETT MEMORIAL DR",
            "city": "HUEYTOWN",
            "state": "AL",
            "postal_code": "350232317",
            "telephone_number": "205-744-9993",
            "fax_number": "205-744-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JACK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH7277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Children's Hospital of Alabama (Pediatrics West)
• The Rise Group
• Therapeutic Expressions Child and Adolescent Counseling Center LLC
• Therapy South Hueytown LLC
• Thomas H. Patterson, DMD
• Jerelyn H Tiller, NP
• Val
• Vanquish LLC
• Daniel Ray Vines
• Wal-Mart Stores East LP (WalMart Pharmacy 10-4497)

• Physical Therapist in Hueytown, AL
• Providers in Hueytown, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.