Individual provider Active NPI

Chad McKinley Thompson, PT

  • Specialist
  • Georgetown, KY
National Provider Identifier
1659312270
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3250 Issued in KY
Practice address
101 Eastside Dr
Suite a
Georgetown, KY 40324-8763
Phone
(502) 867-0111
Fax
(502) 867-0041
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3250 KY Primary

Addresses

Primary practice location

101 Eastside Dr
Suite a
Georgetown, KY 40324-8763

Mailing address

101 Eastside Dr
Suite a
Georgetown, KY 40324-8763
Phone (502) 867-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000202 KY Practitioner - Physical Therapist in Private Practice 0547271025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3250KYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Oct 13, 2025 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Oct 13, 2025 Accepting new patients
Physical Therapy Clinic PSC Past Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Past Accepting new patients
Physical Therapy Clinic PSC Past Accepting new patients

Locations

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

101 Eastside Dr
Ste D
Georgetown, KY 40324
Phone (502) 867-0111

101 Eastside Dr
Ste A
Georgetown, KY 40324
Phone (502) 570-9835

229 Letton Dr
Paris, KY 40361
Phone (859) 340-1061

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

Interoperability endpoints

  • Direct secure messaging: cthompson9045@bhkydirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1659312270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EASTSIDE DR",
            "address_2": "SUITE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248763",
            "telephone_number": "502-867-0111",
            "fax_number": "502-867-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EASTSIDE DR",
            "address_2": "SUITE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248763",
            "telephone_number": "502-867-0111",
            "fax_number": "502-867-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHAD",
        "middle_name": "MCKINLEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "3250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.