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

Nicole Kristine Thompson, DT, OTD, CBIS

Individual provider Occupational Therapist · NPI 1053978031

Nicole Kristine Thompson, DT, OTD, CBIS is an Occupational Therapist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2019.

Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone: (260) 266-4010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X
Occupational Therapist Taxonomy 225X00000X · Licence 31007764A (IN)

Record details

NPI number1053978031
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT , OTD , CBIS
Sole proprietorNo
NPI enumeratedMay 24, 2019
Last updated in NPPESMay 8, 2023
Certification dateMay 8, 2023

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