Individual provider Active NPI

Larissa Thompson, PT

  • Physical Therapist
  • New Braunfels, TX
National Provider Identifier
1811501059
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1208899 Issued in TX
Practice address
1551 N Walnut Ave Ste 47
New Braunfels, TX 78130-6045
Phone
(830) 358-1151
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1208899 TX Primary

Addresses

Primary practice location

1551 N Walnut Ave Ste 47
New Braunfels, TX 78130-6045

Mailing address

1551 N Walnut Ave Ste 47
New Braunfels, TX 78130-6045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200917000485 TX Practitioner - Physical Therapist in Private Practice 2264850668 Reassigns benefits to 3 organizations
I20260312001070 NC Practitioner - Physical Therapist in Private Practice 2264850668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical School at San Antonio, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Imago Rehab, IncGroup PAC ID 1850785056, 16 clinicians
Mint Physical Therapy LLCGroup PAC ID 7618250952, 11 clinicians

Practice addresses (Care Compare)

Cary, NC 27513
Phone (888) 855-2674

1551 N Walnut Ave
Suite 47
New Braunfels, TX 78130-6045
Phone (830) 358-1151

378 Quartz Dr
Dripping Springs, TX 78620-2146
Phone (888) 855-2674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1208899TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Texas PA CurrentSince Mar 24, 2025 Accepting new patients
Imago Rehab, Inc Physical Therapist CurrentSince Feb 27, 2025 Accepting new patients
Mint Physical Therapy, LLC Physical Therapist CurrentSince Sep 10, 2020 Accepting new patients

Locations

110 Canal St
Ste 3
Lowell, MA 01852
Phone (617) 671-0789

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

1551 N Walnut Ave
#47
New Braunfels, TX 78130
Phone (830) 358-1151

1551 N Walnut Ave
Ste 47
New Braunfels, TX 78130
Phone (830) 358-1151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1811501059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 N WALNUT AVE STE 47",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306045",
            "telephone_number": "830-358-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LARISSA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1208899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.