Provider Demographics
NPI:1922236116
Name:THOMPSON, J RANKIN (DPT)
Entity Type:Individual
Prefix:
First Name:J
Middle Name:RANKIN
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:RANKIN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:21827 76TH AVE W
Mailing Address - Street 2:101
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7981
Mailing Address - Country:US
Mailing Address - Phone:425-582-0930
Mailing Address - Fax:425-582-7250
Practice Address - Street 1:21827 76TH AVE W
Practice Address - Street 2:101
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7981
Practice Address - Country:US
Practice Address - Phone:425-582-0930
Practice Address - Fax:425-582-7250
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006784225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8883480Medicare PIN