NICOLE KRISTINE THOMPSON DT, OTD, CBIS
NPI 1053978031
Developmental Therapist in Fort Wayne, IN

Active since May 24, 2019
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 266-4010 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2023, May 24, 2019 (2 updates tracked since 2019).

About Nicole Kristine Thompson Dt, Otd, Cbis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE KRISTINE THOMPSON DT, OTD, CBIS (NPI 1053978031) is an individual developmental therapist in Fort Wayne, Indiana and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1053978031
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameNICOLE KRISTINE THOMPSONCredential: DT, OTD, CBIS
Location Address11109 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701
Mailing Address2626 Saint Joe Center RdFort Wayne, IN 46825-5042 · (260) 497-0328
Sole ProprietorNo
Enumeration DateMay 24, 2019
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1053978031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Also ListedOccupational TherapistTaxonomy 225X00000X · License 31007764A (IN)
11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Internal Medicine
11109 PARKVIEW PLAZA DR, PSP HOSPITALIST
FORT WAYNE, IN 46845
Dietitian, Registered
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Surgery (Trauma Surgery)
11109 PARKVIEW PLAZA DR, TRAUMA UNIT
FORT WAYNE, IN 46845
Pathology (Anatomic Pathology & Clinical Pathology)
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Psychologist
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Nurse Practitioner
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845
Family Medicine
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053978031, enumerated as an "individual" on May 24, 2019.

The provider is located at 11109 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 266-4010.

Developmental Therapist with taxonomy code 222Q00000X.