Susan Mary Thompson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 119 Issued in MT

Practice address

827 Locust St
Missoula, MT 59802-3719

Phone

(406) 728-9142

NPI assigned

May 21, 2007

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

Other identifiers 1

Other names 1

• Susan Mary Thompson Professional name

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700094802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 LOCUST ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023719",
            "telephone_number": "406-728-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 LOCUST ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023719",
            "telephone_number": "406-728-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PT 119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349741",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "THOMPSON",
            "middle_name": "MARY",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Evan Robert Thompson, PMHNP-BC
• James Walter Thompson IV, PCLC, LSC
• Mandi-Mae Iris Thompson, L.AC
• Sally Thompson, M.S. SLP
• Steven J Thompson, DO
• Genine Marie Thormahlen, PHARM. D., AE-C
• Paul T Thormahlen, MSPT, ATC
• Carl Edward Thornblade, MD
• Aric Thorne-Thomsen, PT
• Ragna Thorne-Thomsen, PT

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.