Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thaddeus Thompson, PT

Individual provider Physical Therapist · NPI 1811262017

Thaddeus Thompson, PT is a Physical Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

6320 Saint Augustine Rd Ste 1
Jacksonville, FL 32217-2800
Phone: (904) 448-5075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 38649 (CA)

Record details

NPI number1811262017
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 21, 2012
Last updated in NPPESMay 15, 2014
Mailing address6320 Saint Augustine Rd, Suite 1, Jacksonville, FL 32217-2800

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