Provider Demographics
NPI:1336845494
Name:THOMPSON, DEVIN THOMAS (DPT)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:THOMAS
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 S BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5179
Mailing Address - Country:US
Mailing Address - Phone:781-552-3600
Mailing Address - Fax:
Practice Address - Street 1:99 S BEDFORD ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-5179
Practice Address - Country:US
Practice Address - Phone:781-552-3600
Practice Address - Fax:781-365-0154
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist