Jay Chenoweth Thompson Jr., MED, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL 1766 Issued in FL

Practice address

1401 W Meadows Ave
Leesburg, FL 34748-5643

Phone

(352) 787-5047

NPI assigned

Apr 26, 2006

Sex

Male

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

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1902863897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 MEADOWSIDE DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262331",
            "telephone_number": "407-739-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W MEADOWS AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485643",
            "telephone_number": "352-787-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAY",
        "middle_name": "CHENOWETH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MED, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 1766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chimeshia Thomas
• Claudia L Thomas, M.D.
• Jolly Thomas, M.D.
• Katie Leigh Thomas, DC
• Lanette Thomas
• Karen S Thompson, DO
• Seetha Thummuru
• Tige Robert Buchanan, D C P a
• Sade Evelyn Timberlake
• TLC Care Solutions of Florida LLC

• Athletic Trainer in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.