Kelly Thompson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603970 Issued in VA

Practice address

10043 Midlothian Tpke
North Chesterfield, VA 23235-4856

Phone

(804) 560-5430

Fax

(804) 230-2308

NPI assigned

Feb 5, 2015

Sex

Female

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

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1770974263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 BON AIR CROSSINGS DRIVE",
            "address_2": "THE CROSSINGS AT BON AIR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232350000",
            "telephone_number": "804-320-2310",
            "fax_number": "804-230-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10043 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354856",
            "telephone_number": "804-560-5430",
            "fax_number": "804-230-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jestine Shelby Nicole Thomas
• Laurie Lynn Thomas
• Charity K Thompson, LPC, LSATP
• Danielle Thompson, LPC
• Danny Thompson Sr.
• Kimberly Ann Thompson
• Mary L Thompson, LPC
• Shante C Thompson
• Tiffany Nicole Thompson
• Senovia Thondique

• Physical Therapy Assistant in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.