Individual provider Active NPI

Bobbie-Ann Schoffstall Thames, O.T., C.H.T

  • Hand Occupational Therapist
  • Montgomery, AL
National Provider Identifier
1972549244
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0267 Issued in AL
Practice address
7057 Halcyon Summit Dr
Montgomery, AL 36117-6927
Phone
(334) 625-5809
Fax
(334) 271-2555
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0267 AL Primary

Addresses

Primary practice location

7057 Halcyon Summit Dr
Montgomery, AL 36117-6927

Mailing address

80 Technacenter Dr
Suite 300
Montgomery, AL 36117-6028
Phone (334) 625-5795

Other identifiers 2

IdentifierTypeStateIssuer
12141960OtherALCAQH
511-53757OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221114002572 FL Practitioner - Occupational Therapist in Private Practice 8820049927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

4012 N 9TH Ave
Pensacola, FL 32503-2824
Phone (850) 807-4200

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0267ALMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince Nov 21, 2022 Accepting new patients
North Florida Surgeons, PA CurrentSince Nov 21, 2022 Accepting new patients
The Orthopaedic Clinic P.C. Past Accepting new patients
PT Solutions Management, LLC Past Accepting new patients
The Orthopaedic Clinic, P.C. Past Accepting new patients

Locations

73 Eglin Pkwy NE
Fort Walton Beach, FL 32548

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

4012 N 9th Ave
Pensacola, FL 32503
Phone (850) 444-4777

Organizations & group practices 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1972549244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 TECHNACENTER DR",
            "address_2": "SUITE 300",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176028",
            "telephone_number": "334-625-5795",
            "fax_number": "334-396-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 HALCYON SUMMIT DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361176927",
            "telephone_number": "334-625-5809",
            "fax_number": "334-271-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "BOBBIE-ANN",
        "middle_name": "SCHOFFSTALL",
        "name_prefix": "Mrs.",
        "credential": "O.T., C.H.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AL",
            "license": "0267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12141960",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "511-53757",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.