Jeremiah Daniel Thompson, PT DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT017037 Issued in OH

Practice address

10603 Detroit Ave
Cleveland, OH 44102-1647

Phone

(216) 226-0282

NPI assigned

Aug 1, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1700300878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 WARRINGTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10603 DETROIT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441021647",
            "telephone_number": "216-226-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEREMIAH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "VA",
            "license": "2305210529",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "PT017037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George H Thompson, MD
• Jacqueline Thompson
• Janayia Thompson
• Janice N Thompson, QMHS CMS
• Jazmin Thompson, LPN
• Jessica Thompson
• JP Thompson, PA
• Julia Maria Thompson
• Karen Thompson, OTR/L
• Katherine Thompson

• Geriatric Physical Therapist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Geriatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; 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.