Ryan Christopher Thompson, PT, DPT

Individual provider Active NPI Physical Therapist · Manakin Sabot, VA

NPI 1689458424 · NPPES record last updated Aug 22, 2023

Key facts

NPI
1689458424
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305216022 (VA)
Practice address
44 Broad Street Rd
Manakin Sabot, VA 23103-2213
Phone
(804) 784-7090
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLC (225 clinicians)

Practice addresses (Care Compare)

44 Broad St Rd
Manakin Sabot, VA 23103-2213
Phone (804) 784-7090

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100 (group)
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230922001672 VA Practitioner - Physical Therapist in Private Practice 3870947955 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2305216022VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current
since Aug 28, 2023
Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current
since Aug 28, 2023
Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

44 Broad Street Rd
Manakin Sabot, VA 23103
Phone (804) 784-7090

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216022 VA Yes

Addresses

Primary practice location

44 Broad Street Rd
Manakin Sabot, VA 23103-2213

Mailing address

44 Broad Street Rd
Manakin Sabot, VA 23103-2213
Phone (804) 784-7090

Other providers in Manakin Sabot, VA

All providers in Manakin Sabot, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.