Elizabeth Thompson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1380 Issued in MN

Practice address

815 Church St SW
Hutchinson, MN 55350-3003

Phone

(320) 583-2787

NPI assigned

Aug 18, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1699141275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CHURCH ST SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHURCH ST SW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503003",
            "telephone_number": "320-583-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie Theisen, NCC, LPCC
• Kate Theisen, M.S. CF SLP
• Timothy Richard Theisen, PTA
• Thomas L Price Associates
• Beverly Ann Thomas, RN
• Shelby Lee Thompson, DC
• Thrifty Drug Stores Inc
• Martin Tjaden, HID
• Emily Tonn, PMHNP-BC
• Total Compliance Solutions, Inc.

• Physical Therapy Assistant in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.