Individual provider Active NPI

Drusilla Tiare Thompson, DPT

  • Physical Therapist
  • Mountain View, CA
National Provider Identifier
1730198912
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 32374 Issued in CA
Practice address
525 South Dr
Ste. 211
Mountain View, CA 94040-4213
Phone
(650) 934-0455
Fax
(650) 934-0456
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 PT 32374 CA Primary

Addresses

Primary practice location

525 South Dr
Ste. 211
Mountain View, CA 94040-4213

Mailing address

525 South Dr
Ste. 211
Mountain View, CA 94040-4213
Phone (650) 934-0455

Other practice location 1

68 Willow Rd
Menlo Park, CA 94025-3653
Phone (866) 839-6979

Other identifiers 2

IdentifierTypeStateIssuer
1053320325OtherCATYPE 2NPI
ZZZ04312ZOtherCAMEDICARE GROUP PTAN

Other names 1

  • Miss Drusilla Tiare Hanft Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 32374CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Rehabilitative Therapy Services Physical Therapist PastSince Nov 1, 2017 Accepting new patients
Silicon Valley Hand Therapy Physical Therapist PastSince Jul 1, 2018 Accepting new patients
Breakthrough Physical Therapy Inc Physical Therapist PastSince Aug 6, 2019 Accepting new patients

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1730198912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR",
            "address_2": "STE. 211",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404213",
            "telephone_number": "650-934-0455",
            "fax_number": "650-934-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR",
            "address_2": "STE. 211",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404213",
            "telephone_number": "650-934-0455",
            "fax_number": "650-934-0456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Willow Rd",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940253653",
            "country_code": "US",
            "telephone_number": "866-839-6979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DRUSILLA",
        "middle_name": "TIARE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 32374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2NPI",
            "identifier": "1053320325",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "ZZZ04312Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DRUSILLA",
            "last_name": "HANFT",
            "middle_name": "TIARE",
            "prefix": "MISS",
            "credential": "PT, DPT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.