Individual provider Active NPI

Jim L Thweatt, PT

  • Physical Therapist
  • West Sacramento, CA
National Provider Identifier
1871707588
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8263 Issued in CA
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.