Thaddeus Thompson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38649 Issued in CA

Practice address

6320 Saint Augustine Rd
Suite 1
Jacksonville, FL 32217-2800

Phone

(904) 448-5075

NPI assigned

Mar 21, 2012

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Body Works Physical Therapy

  • Physical Therapist
  • Lowell, MA
  • NPI 1437278744
  NPD (past)
• Bodyworks Physical Therapy Management, Inc

  • Physical Therapist
  • Lowell, MA
  • NPI 1396722690
  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1811262017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172800",
            "telephone_number": "904-448-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 SAINT AUGUSTINE RD",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172800",
            "telephone_number": "904-448-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THADDEUS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-21",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Bradley Thompson, MD
• Shelly Holder Thompson, M.D.
• Tangela Thompson
• Tanya Roxanne Thompson, LCSW
• Taylor Lee Thompson, PH.D
• Thomas Zachary Thompson, M.D.
• Tresonda L Thompson, CNM, ARNP
• Tricia Thompson
• Veronica Thompson
• Alexis Thomson

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.