Kyle Don Thompson, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1735 Issued in TX

Practice address

4407 Amberley PL
College Station, TX 77845-2005

Phone

(979) 574-3674

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1740751858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 AMBERLEY PL",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452005",
            "telephone_number": "979-574-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 AMBERLEY PL",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452005",
            "telephone_number": "979-574-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KYLE",
        "middle_name": "DON",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION",
            "identifier": "049902498",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF LICENSURE AND REGULATION",
            "identifier": "AT1735",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Landry Thomas, PTA
• Teresa M Thomas, CCSH
• Karen Patricia Thomason, CCC-SLP
• Jelica Thomassen, P.T.A.
• Alyssa Thompson, RN
• Melinda Morrow Thompson, LPC
• Kelli D Thornton, P.T.
• Kylie Thornton
• William Paul Thornton, P. T.
• Thrive Home Health Care, Inc.

• Athletic Trainer in College Station, TX
• Providers in College Station, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.