Active NPI
Jennifer L Thompson, MPT/CHT
- Physical Therapist
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J10001399
- Practice address
- 1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581 - Phone
- (302) 475-7500
- Fax
- (302) 894-1601
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10001399 | DE | Primary |
| Physical Therapist | 225100000X | PT012717L | PA | |
| Physical Therapist | 225100000X | 22232 | MD |
Addresses
Primary practice location
1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2116451 | Other | DE | MAMSI PROVIDER NUMBER |
| P01038120 | Other | DE | MEDICARE RAILROAD |
| 1000037755 | Medicaid | DE | |
| 2323901000 | Other | DE | AMERIHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5038 Pennell Rd
Aston, PA 19014-1868
Phone (610) 833-4600
9475 E Roosevelt Blvd
Philadelphia, PA 19114-2212
Phone (215) 464-6200
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10001399 | DE | MD | Physical Therapist |
| PT012717L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
3620 Concord Pike
Spc L
Wilmington, DE 19803
Phone (302) 281-3072
1812 Marsh Rd
Ste 505
Wilmington, DE 19810
Phone (302) 475-7500
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619
52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100
5038 Pennell Rd
Aston, PA 19014
Phone (610) 833-4600
9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200
Organizations & group practices 2
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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
DE, PA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340755200000",
"number": "1720024151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 MARSH RD",
"address_2": "STORE 505",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104581",
"telephone_number": "302-475-7500",
"fax_number": "302-894-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MPT/CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2012-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10001399",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012717L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22232",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER NUMBER",
"identifier": "2116451",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01038120",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000037755",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2323901000",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.