Nicole Kristine Thompson, DT, OTD, CBIS is a
Developmental Therapist based in Fort Wayne, Indiana. Nicole Kristine Thompson is licensed to practice in * (Not Available) (license number ) and her current practice location is
11109 Parkview Plaza Dr, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 266-4010.
NPI number for Nicole Kristine Thompson is 1053978031 and her current mailing address is 2626 Saint Joe Center Rd, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053978031.
Healthcare Provider's Profile
Full Name | Nicole Kristine Thompson |
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Gender | Female |
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Speciality | Developmental Therapist |
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Location | 11109 Parkview Plaza Dr, Fort Wayne, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053978031
- Provider Enumeration Date: 05/24/2019
- Last Update Date: 05/08/2023
Medical Identifiers
Medical identifiers for Nicole Kristine Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053978031 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 31007764A (Indiana) | Secondary |
222Q00000X | Developmental Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Kristine Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Kristine Thompson, DT, OTD, CBIS 2626 Saint Joe Center Rd, Fort Wayne, IN 46825-5042 Ph: (260) 497-0328 | Nicole Kristine Thompson, DT, OTD, CBIS 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 Ph: (260) 266-4010 |
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