CARLY NICOLE THOMPSON (DPT) – Physical Therapist, NPI 1649730185
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ME
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Provider Addresses for CARLY NICOLE THOMPSON (DPT)
1150, North Watters Road, The Trails, Allen, Collin County, Texas, 75013, United States
STE 105
ALLEN, TX 750135536
Phone: (469) 854-1653
Fax: (469) 912-1700
Type: Mailing
LincolnHealth - Miles Campus, 35, Miles Street, Damariscotta, Lincoln County, Maine, 04543, United States
DAMARISCOTTA, ME 045434047
Phone: (207) 563-4518
Type: Location
35 Miles St
Damariscotta, ME 045434047
Phone: (207) 563-4518
Type: Location
637 TIFFANY TRL
RICHARDSON, TX 750815619
Phone: (812) 243-0646
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191101000238 | I | Physical Therapist In Private Practice | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 566 | 34 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 361 | 30 | $0 |
| 97530 | Therapy procedure using functional activities | 110 | 16 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 46 | 11 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 24 | 24 | $0 |
Insurance plans in this area (ZIP 75013)
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