IndividualActive
Thaddeus Thompson, PT
NPI 1811262017 · Physical Therapist · Jacksonville, FL
Provider details
- NPI number
- 1811262017
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 38649 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6320 Saint Augustine Rd
Suite 1
Jacksonville, FL 32217-2800
Phone: (904) 448-5075
Street-level locationGet directions
Mailing address
6320 Saint Augustine Rd
Jacksonville, FL 32217-2800
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2014-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.