MEDICARE: VICTORIA THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-034780	AZ

General Provider Information

NPI Number	:	1689505356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA THOMPSON

Provider Business Mailing Address
First Line	:	13794 W WADDELL RD STE 204&205
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-8499
Country	:	US
Telephone Number	:	623-224-2161
Fax Number	:

Provider Business Practice Location Address
First Line	:	13794 W WADDELL RD STE 204&205
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-8499
Country	:	US
Telephone Number	:	623-224-2161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	06/02/2026

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Directions to “ VICTORIA THOMPSON ” Practice Location

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