Kissie Thompson, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTA27413 Issued in FL

Practice address

4602 Marigold Ave
Kissimmee, FL 34758-4342

Phone

(407) 744-9193

NPI assigned

Oct 30, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1902373871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MASON TERRENCE",
            "city": "CHAMPIONSGATE",
            "state": "FL",
            "postal_code": "33896",
            "telephone_number": "407-409-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 MARIGOLD AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347584342",
            "telephone_number": "407-744-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Mason Terrence",
            "address_purpose": "LOCATION",
            "city": "Championsgate",
            "state": "FL",
            "postal_code": "33896",
            "country_code": "US",
            "telephone_number": "407-409-8658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KISSIE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTA27413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleen Rosemarie Thompson, NP
• Colleen Thompson
• Dean Norton Thompson, MD, MSPH
• Joy E Thompson, RN
• Juanetta Thompson, NP-C
• Klace Thompson
• Leon Hugh Thompson, RN
• Michael Thompson, MD
• Shemariah Mattithyah Thompson
• Trey Edward Thompson

• Physical Therapist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.