Nicole Z Thompson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3101 201St PL
Lynwood, IL 60411-1588

Phone

(708) 474-7141

Fax

(708) 474-0290

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matr Therapeutics LLCGroup PAC ID 9032602586, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Matr Therapeutics LLC

  • Physical Therapist
  • Bolingbrook, IL
  • NPI 1548136120
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609903871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 201ST PL",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111588",
            "telephone_number": "708-474-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 201ST PL",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111588",
            "telephone_number": "708-474-7141",
            "fax_number": "708-474-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "NICOLE",
        "middle_name": "Z",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet F Stewart-Lofton, LCPC, LMFT,LPC
• Bonnie Jean Stewart, CDS
• Shannon Stewart
• Darius Strong, LPC
• Melisa Taylor
• Thrive Integrative Inc.
• Olamide Tunde Ali, LCPC
• Victory Homes
• Village of Lynwood
• Ashir Wahab, MD

• Occupational Therapist in Lynwood, IL
• Providers in Lynwood, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.