Active NPI
Jim L Thweatt, PT
- Physical Therapist
- West Sacramento, CA
National Provider Identifier
1871707588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8263
- Practice address
- 1550 Harbor Blvd Ste 120
West Sacramento, CA 95691-3830 - Phone
- (916) 456-3735
- Fax
- (916) 374-9753
- NPI assigned
- May 10, 2007
- Last updated
- Feb 22, 2012
- Sex
- Male
- 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 | 8263 | CA | Primary |
Addresses
Primary practice location
1550 Harbor Blvd Ste 120
West Sacramento, CA 95691-3830
Mailing address
PO Box 980545
West Sacramento, CA 95798-0545
Phone (916) 456-3735
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1871707588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980545",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "957980545",
"telephone_number": "916-456-3735",
"fax_number": "916-374-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 HARBOR BLVD STE 120",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956913830",
"telephone_number": "916-456-3735",
"fax_number": "916-374-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THWEATT",
"first_name": "JIM",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "8263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Sacramento, CA
- The Physical Therapy Clinics. Inc. (The Physical Therapy Clinics -- West Sacramento)
- Alexandra Louise Thompson
- Michaela Taylor Thompson
- Thrifty Payless Inc (Rite Aid Pharmacy 06065)
- Amber Choisella Thuston, MSC, LPCC
- Grace Tidwell, MD
- Denise I. Tillery, LCSW
- Lisa Christine Timpone, ATC
- Nancy E Tinajero, ASW
- Darian Lynn Tolson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.