Breanna Dawn Thompson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000012281 Issued in TN

Practice address

1023 Mineral Wells Ave Ste E
Paris, TN 38242-4938

Phone

(731) 333-3306

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

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

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: breanna.thompson.1@16403.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Group Practice LLC

  • Physical Therapist
  • Germantown, TN
  • NPI 1174308647
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Somerville, TN
  • NPI 1205690971
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• Kerry D. Friesen, M.D. PC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1316052624
  NPD (past)
• Primrose Pediatric Therapy, LLC

  • Rehabilitation Clinic/Center
  • Paris, TN
  • NPI 1932787835

  Physical Therapist

  NPD (past)
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1821740820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WILLIAMS LN",
            "city": "PURYEAR",
            "state": "TN",
            "postal_code": "382516415",
            "telephone_number": "731-336-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MINERAL WELLS AVE STE E",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424938",
            "telephone_number": "731-333-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BREANNA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000012281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee CVS Pharmacy LLC (CVS Pharmacy# 10515)
• The West Clinic P.C.
• Thomas E. Townsend O.D.
• Alston Thomas
• Andrea Thompson, MPT
• Christie B Thompson, PHARMD
• John C Thompson, LPC-MHSP
• Parker L Thompson, LCSW
• Timothy Wayne Tidwell
• Jean Nicole Tippitt, LCSW

• Physical Therapist in Paris, TN
• Providers in Paris, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.