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NPI Code Detail

MEDICARE: DR. STEPHEN MICHAEL THOMPSON PT, DPT, CWS

MEDICARE: DR. STEPHEN MICHAEL THOMPSON PT, DPT, CWS
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
1225100000XPhysical TherapistPT29354FL

General Provider Information

NPI Number : 1285563775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN MICHAEL THOMPSON PT, DPT, CWS
Provider Business Mailing Address
First Line : 3805 HAMMONDS FERRY CT
Second Line :
City : OVIEDO
State : FL
Zip : 32766-6707
Country : US
Telephone Number : 312-842-0184
Fax Number :
Provider Business Practice Location Address
First Line : 521 W STATE ROAD 434 STE 204
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-5165
Country : US
Telephone Number : 407-767-5842
Fax Number : 321-842-0186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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