Individual provider Active NPI

Robin K Thompson, PT

  • Physical Therapist
  • Daly City, CA
National Provider Identifier
1679686703
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20678 Issued in CA
Practice address
2945 Junipero Serra Blvd
Daly City, CA 94014-2549
Phone
(650) 755-8830
Fax
(650) 755-8147
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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 PT20678 CA Primary

Addresses

Primary practice location

2945 Junipero Serra Blvd
Daly City, CA 94014-2549

Mailing address

2945 Junipero Serra Blvd
Daly City, CA 94014-2549
Phone (650) 755-8830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000684 CA Practitioner - Physical Therapist in Private Practice 2466412754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P.S.M.R.C., LLCGroup PAC ID 0446495741, 4 clinicians

Practice addresses (Care Compare)

2945 Junipero Serra Blvd
Daly City, CA 94014-2549
Phone (650) 755-8830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20678CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Hand Therapy, Inc. CurrentSince Jan 1, 2003 Accepting new patients

Locations

2945 Junipero Serra Blvd
Daly City, CA 94014
Phone (650) 755-6500

Organizations & group practices 2

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1679686703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-8830",
            "fax_number": "650-755-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-8830",
            "fax_number": "650-755-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ROBIN",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT20678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.