Individual provider Active NPI

Holly Shannon Thompson, PT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1659617876
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2788 Issued in OK
Practice address
3345 S Harvard Ave
Suite 101
Tulsa, OK 74135-1812
Phone
(918) 743-3737
Fax
(918) 743-8833
NPI assigned
Dec 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2788 OK Primary

Addresses

Primary practice location

3345 S Harvard Ave
Suite 101
Tulsa, OK 74135-1812

Mailing address

3007 S Boston CT
Tulsa, OK 74114-5216
Phone (918) 293-0631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150415001448 OK Practitioner - Physical Therapist in Private Practice 6800114208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Physical Therapy Specialists, PLLCGroup PAC ID 6901123447, 9 clinicians

Practice addresses (Care Compare)

3345 S Harvard Ave
Suite 301
Tulsa, OK 74135-1815
Phone (918) 574-2575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Physical Therapy Specialists, PLLC CurrentSince Apr 1, 2015 Accepting new patients

Locations

3345 S Harvard Ave
Ste 301
Tulsa, OK 74135
Phone (918) 574-2575

3345 S Harvard Ave
Ste 101
Tulsa, OK 74135
Phone (918) 574-2575

Organizations & group practices 1

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": "1355443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1659617876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 S BOSTON CT",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741145216",
            "telephone_number": "918-293-0631",
            "fax_number": "918-293-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 S HARVARD AVE",
            "address_2": "SUITE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741351812",
            "telephone_number": "918-743-3737",
            "fax_number": "918-743-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HOLLY",
        "middle_name": "SHANNON",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.