Lisa M Thompson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

641 Issued in SD

Practice address

1319 W Havens Ave
Mitchell, SD 57301-4116

Phone

(605) 996-4778

Fax

(605) 996-3660

NPI assigned

Mar 14, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1992774012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W HAVENS ST",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014116",
            "telephone_number": "605-996-4778",
            "fax_number": "605-996-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W HAVENS AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573014116",
            "telephone_number": "605-996-4778",
            "fax_number": "605-996-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5833310",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS OF SD",
            "identifier": "4997332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L Thelen, PHARM D
• Theresa M Campbell PC
• Tiffany Dot Thiesse, D.C.
• Danielle Thomas
• Kathryn A Thomas
• Olivia Thompson, M.A., CF-SLP
• Quentin O Thompson I, DC
• Katherine Caroline Thomsen, RDN/LN
• Stacy Rae Thomsen, MA,CCC/SLP
• Thread Counseling Services

• Physical Therapist in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.