Active NPI
Jennifer Thompson, PTA
- Physical Therapy Assistant
- Terre Haute, IN
National Provider Identifier
1780235705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06002819A
- Practice address
- 222 S 25TH St Apt 235
Terre Haute, IN 47803-1864 - Phone
- (317) 887-1600
- NPI assigned
- Sep 20, 2019
- 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 Therapy Assistant | 225200000X | 06002819A | IN | Primary |
Addresses
Primary practice location
222 S 25TH St Apt 235
Terre Haute, IN 47803-1864
Mailing address
2091 Ridgemere Way
Greenwood, IN 46143-9288
Phone (317) 887-1600
Other practice location 1
3150 N 7th St
Terre Haute, IN 47804-1034
Phone (812) 466-5217
Other practice location 2
3300 Poplar St
Terre Haute, IN 47803-2340
Phone (812) 235-6281
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06002819A | IN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Strategies, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Indianapolis, IN
- NPI 1700398047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1780235705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2091 RIDGEMERE WAY",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461439288",
"telephone_number": "317-887-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 S 25TH ST APT 235",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478031864",
"telephone_number": "317-887-1600"
}
],
"practiceLocations": [
{
"address_1": "3150 N 7th St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478041034",
"country_code": "US",
"telephone_number": "812-466-5217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 Poplar St",
"address_purpose": "LOCATION",
"city": "Terre Haute",
"state": "IN",
"postal_code": "478032340",
"country_code": "US",
"telephone_number": "812-235-6281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNIFER",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002819A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.