Individual provider Active NPI

Conor F Thompson

  • Physical Therapist
  • Fairfax, VA
National Provider Identifier
1710477229
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8550 Lee Hwy
Fairfax, VA 22031-1577
Phone
(703) 208-1002
Fax
(703) 208-1127
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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 VA Primary

Addresses

Primary practice location

8550 Lee Hwy
Fairfax, VA 22031-1577

Mailing address

PO Box 1769
Middleburg, VA 20118-1769
Phone (703) 208-1002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222001420 MD Practitioner - Physical Therapist in Private Practice 5294080933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

1750 Forest Dr
Suite 145
Annapolis, MD 21401-4211
Phone (301) 798-4838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Dec 14, 2022 Accepting new patients
Rehab 2 Perform LLC Physical Therapist CurrentSince Dec 14, 2022 Accepting new patients
The Jackson Clinics LLC Physical Therapist PastSince Jul 5, 2018 Accepting new patients

Locations

1750 Forest Dr
Ste 145
Annapolis, MD 21401
Phone (301) 381-0738

1341 Hughes Ford Rd
Ste 104
Frederick, MD 21701
Phone (301) 450-8038

20501 Seneca Meadows Pkwy
Ste 100
Germantown, MD 20876
Phone (240) 608-0986

Organizations & group practices 3

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1710477229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "703-208-1002",
            "fax_number": "703-208-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 LEE HWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311577",
            "telephone_number": "703-208-1002",
            "fax_number": "703-208-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CONOR",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.