Micia Renee Thorn

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111779 Issued in TX

Practice address

1901 N Glenville Dr
Suite 800
Richardson, TX 75081-7207

Phone

(972) 238-9916

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922132695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 EASTPARK DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750446542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N GLENVILLE DR",
            "address_2": "SUITE 800",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817207",
            "telephone_number": "972-238-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "MICIA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald E Thompson, PHD
• Kathy Thompson
• Lori Thompson, NP
• Madison Thompson, OTR
• Samantha Thompson
• Britney Thornton
• Erin Threadgill, SLP
• Three Oaks Hospice Dallas Inc
• Three Oaks Palliative Care PLLC
• Thrived Together LLC

• Occupational Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.