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Becky Thompson, PTA

Physical Therapy Assistant in Lakeland, GA. Individual provider (NPI-1).

NPI number1154776656
StatusActive
Last updated in NPPESMay 3, 2016

Details

NPI
1154776656
Entity type
Individual (NPI-1)
Name
Becky Thompson
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
May 3, 2016
Last updated
May 3, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA001181GAYes

Practice location

116 W Thigpen Ave
Lakeland, GA 31635-1011

Phone 229-482-8578 · Fax 229-482-8556

Mailing address

116 W Thigpen Ave
Lakeland, GA 31635-1011

Phone 229-482-8578 · Fax 229-482-8556

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