Mr Scott Jake Thompson, PT, ATC is a
Physical Medicine & Rehabilitation - Sports Medicine based in Grand Forks, North Dakota. Mr Scott Jake Thompson is licensed to practice in North Dakota (license number 1477) and his current practice location is
2751 2nd Ave N Stop 9013, Grand Forks, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 777-4845.
NPI number for Mr Scott Jake Thompson is 1467462127 and his current mailing address is 2751 2nd Ave N Stop 9013, Grand Forks, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467462127.
Healthcare Provider's Profile
| Full Name | Mr Scott Jake Thompson |
|---|
| Gender | Male |
|---|
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
|---|
| Location | 2751 2nd Ave N Stop 9013, Grand Forks, North Dakota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467462127
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 10/30/2017
Medical Identifiers
Medical identifiers for Mr Scott Jake Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467462127 | NPI | - | NPPES |
| 45-6002491 | Other | ND | TAX-ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 1477 (North Dakota) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1477 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Scott Jake Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Scott Jake Thompson, PT, ATC
2751 2nd Ave N Stop 9013,
Grand Forks, ND 58202-9013
Ph: (701) 777-4845 | Mr Scott Jake Thompson, PT, ATC
2751 2nd Ave N Stop 9013,
Grand Forks, ND 58202-9013
Ph: (701) 777-4845 |
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