Active NPI
Jaime Lynn Thornton, MPT
- Physical Therapist
- Dublin, OH
National Provider Identifier
1851401079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11060
- Practice address
- 4019 W Dublin Granville Rd
Dublin, OH 43017-1436 - Phone
- (614) 293-0043
- Fax
- (614) 293-6962
- NPI assigned
- Aug 30, 2006
- 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 Therapist | 225100000X | 11060 | OH | Primary |
Addresses
Primary practice location
4019 W Dublin Granville Rd
Dublin, OH 43017-1436
Mailing address
910 City Park Avenue
Columbus, OH 43206
Phone (614) 449-8008
Other names 1
- Ms. Jaime Lynn Bergeron
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11060 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Healthworks Medical Group | Physical Therapist | Past | Accepting new patients |
| U.S. Healthworks Medical Group of Ohio, Inc, | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Columbus, OH
- NPI 1780718668
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Valencia, CA
- NPI 1750361655
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1851401079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 CITY PARK AVENUE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43206",
"telephone_number": "614-449-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 W DUBLIN GRANVILLE RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430171436",
"telephone_number": "614-293-0043",
"fax_number": "614-293-6962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "JAIME",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "11060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "BERGERON",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.