Individual provider Active NPI

Natalie Ashton Thompson, LPTA

  • Physical Therapy Assistant
  • Brookhaven, MS
National Provider Identifier
1972331775
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-7822 Issued in MS
Practice address
509 Brookway Blvd
Brookhaven, MS 39601-3266
Phone
(601) 833-7317
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA-7822 MS Primary

Addresses

Primary practice location

509 Brookway Blvd
Brookhaven, MS 39601-3266

Mailing address

314 Main St Ste C
Monticello, MS 39654-3702
Phone (601) 587-2563

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA-7822MSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Therapy PLLC CurrentSince Jul 28, 2024 Accepting new patients
Tri Therapy PLLC Physical Therapy Assistant CurrentSince Jul 28, 2024 Accepting new patients

Locations

509 Brookway Blvd
Brookhaven, MS 39601
Phone (601) 833-7317

314 Main St
#C
Monticello, MS 39654
Phone (601) 587-2563

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1972331775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MAIN ST STE C",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396543702",
            "telephone_number": "601-587-2563",
            "fax_number": "601-587-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BROOKWAY BLVD",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396013266",
            "telephone_number": "601-833-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NATALIE",
        "middle_name": "ASHTON",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA-7822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.