Individual provider Active NPI

Jennifer Thompson, PTA

  • Physical Therapy Assistant
  • Terre Haute, IN
National Provider Identifier
1780235705
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06002819A Issued in IN
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

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
06002819AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Strategies, LLC PastSince Sep 25, 2019 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.

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.

Verify at the official NPI Registry.