Active NPI
Drusilla Tiare Thompson, DPT
- Physical Therapist
- Mountain View, CA
National Provider Identifier
1730198912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 32374
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053320325 | Other | CA | TYPE 2NPI |
| ZZZ04312Z | Other | CA | MEDICARE GROUP PTAN |
Other names 1
- Miss Drusilla Tiare Hanft
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 32374 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Rehabilitative Therapy Services | Physical Therapist | Past | Accepting new patients |
| Silicon Valley Hand Therapy | Physical Therapist | Past | Accepting new patients |
| Breakthrough Physical Therapy Inc | Physical Therapist | Past | 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.
-
dba Peak Physical Therapy
- Physical Therapist
- Mountain View, CA
- NPI 1275806713
-
- Physical Therapist
- Sunnyvale, CA
- NPI 1053320325
-
- Rehabilitation Clinic/Center
- Mountain View, CA
- NPI 1437536448
Physical Therapist
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.