Eli Clark Thom, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299903 Issued in CA

Practice address

12150 Industry Blvd Ste 42
Jackson, CA 95642-9375

Phone

(209) 223-9410

Fax

(209) 223-9450

NPI assigned

Mar 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Fitzpatrick Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Placerville, CA
  • NPI 1295783900

  Physical Therapist

  NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1730764036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "RAIL ROAD FLAT",
            "state": "CA",
            "postal_code": "952480518",
            "telephone_number": "209-743-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 INDUSTRY BLVD STE 42",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429375",
            "telephone_number": "209-223-9410",
            "fax_number": "209-223-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOM",
        "first_name": "ELI",
        "middle_name": "CLARK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deon Lynn Tadlock, M.D.
• Felicia Tang
• Cassidy F Tanis
• Lisa Ann Tarko
• Nina Tecson, DDS
• Thomas Alan Bowhay
• Thomas Bowhay MD & Terrence C Turpen Pac
• Thomas Bowhay, M.D.
• Lisa Watkins Tomlinson, NP, RN
• Thuc Linh Tran, RPH

• Physical Therapist in Jackson, CA
• Providers in Jackson, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.