Kecia Thompsongordon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2959 Issued in WI

Practice address

1905 W Hart Rd
Beloit, WI 53511-2230

Phone

(608) 365-7500

NPI assigned

May 4, 2020

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

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1811518657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CAMPUS ST APT 5",
            "city": "MILTON",
            "state": "WI",
            "postal_code": "535631747",
            "telephone_number": "608-868-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112230",
            "telephone_number": "608-365-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSONGORDON",
        "first_name": "KECIA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G. Teehan, M.D.
• Peggy Teubert, LPTA
• PA Hli Thao
• Nadine V.L. Thomas, MD
• Kayce J Thompson, PTA
• Thorpe Chiropractic Works SC
• Karen M Thorpe, DC
• Kerry Beth Thorson, OTRL
• James Michael Tillman Jr., DC
• TMF Group Corp

• Physical Therapy Assistant in Beloit, WI
• Providers in Beloit, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.