Organization Active NPI

Thompson Physical Therapy Inc.

  • Orthopedic Physical Therapist
  • Fresno, CA
National Provider Identifier
1982965489
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT34420 Issued in CA
Legal business name
THOMPSON PHYSICAL THERAPY INC.
Practice address
6222 N 1St St Ste 104
Fresno, CA 93710-5448
Phone
(559) 365-5001
Fax
(559) 354-5915
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Mr. Ryan P Thompson, M.P.T.NPI 1023315405
Title
Ceo
Phone
(559) 972-2863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT34420 CA Primary

Addresses

Primary practice location

6222 N 1St St Ste 104
Fresno, CA 93710-5448

Mailing address

6222 N 1St St Ste 104
Fresno, CA 93710-5448
Phone (559) 365-5001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120618000670 CA Part B Supplier - Clinic/Group Practice 7214191519 Receives reassigned benefits from 2 practitioners
Practice locations: Clovis, CA

National Provider Directory

National Provider Directory

Locations

585 W Nees Ave
Ste 115
Fresno, CA 93711
Phone (559) 365-5001

6222 N 1st St
Ste 104
Fresno, CA 93710
Phone (559) 365-5001

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1982965489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 N 1ST ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105448",
            "telephone_number": "559-365-5001",
            "fax_number": "559-354-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 N 1ST ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105448",
            "telephone_number": "559-365-5001",
            "fax_number": "559-354-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-972-2863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT34420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.