Individual provider Active NPI

Jason Thompson

  • Orthopedic Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1871241463
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
047800 Issued in NY
Practice address
203 Berry St
Brooklyn, NY 11249-3114
Phone
(646) 875-8348
NPI assigned
Mar 14, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 047800 NY Primary

Addresses

Primary practice location

203 Berry St
Brooklyn, NY 11249-3114

Mailing address

277 Washington Ave Apt 6D
Brooklyn, NY 11205-4242

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
047800NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Club Inc Orthopedic CurrentSince Jan 10, 2025 Accepting new patients
Kellen Ryan Scantlebury Physical Therapy PLLC Orthopedic CurrentSince Jan 16, 2025 Accepting new patients

Locations

203 Berry St
Brooklyn, NY 11249
Phone (646) 875-8348

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.

NPI Registry JSON

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

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1871241463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 WASHINGTON AVE APT 6D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112054242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BERRY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493114",
            "telephone_number": "646-875-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "047800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.