Mrs Marisa Mae Thompson, MA, OTR/L in Fort Worth, TX - Medicare Occupational Therapist Provider

Mrs Marisa Mae Thompson, MA, OTR/L is a medicare enrolled "Occupational Therapist" provider in Fort Worth, Texas. Her current practice location is 3840 Hulen St Ste 100, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 569-4300.

Mrs Marisa Mae Thompson is licensed to practice in Texas (license number 124389) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780954339.

Contact Information

	Mrs Marisa Mae Thompson, MA, OTR/L
	3840 Hulen St Ste 100, Fort Worth, TX 76107-7269
	(817) 569-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Marisa Mae Thompson
Gender	Female
Speciality	Occupational Therapist
Location	3840 Hulen St Ste 100, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780954339
Provider Enumeration Date: 01/12/2012
Last Update Date: 04/29/2026

Medicare PECOS Information:

PECOS PAC ID: 2567795933
Enrollment ID: I20190618001037

Medical Identifiers

Medical identifiers for Mrs Marisa Mae Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780954339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	124389 (Texas)	Primary
225XP0200X	Occupational Therapist - Pediatrics	3297 (Colorado)	Secondary
225XP0200X	Occupational Therapist - Pediatrics	6152 (Montana)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Marisa Mae Thompson allows following entities to bill medicare on her behalf.

Provider Name	Eat Move Grow Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1255889846 PECOS PAC ID: 4082980081 Enrollment ID: O20171018003002

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Marisa Mae Thompson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Marisa Mae Thompson, MA, OTR/L 9305 Sunset Ln, Oak Point, TX 75068-2315 Ph: (507) 202-3227	Mrs Marisa Mae Thompson, MA, OTR/L 3840 Hulen St Ste 100, Fort Worth, TX 76107-7269 Ph: (817) 569-4300

Reviews and Comments

Occupational Therapist in Fort Worth, TX

Ms. Mary Cathrine Mckenzie, MOT/OTR, CPRCS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7217 Hawkins View Dr Ste 201, Fort Worth, TX 76132 Phone: 817-479-7019
Holly Christina Andrews, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5316 Trail Lake Dr, Fort Worth, TX 76133 Phone: 817-292-8787 Fax: 817-789-6489
Mrs. Sue Khammar, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4140 Tamworth Rd, Fort Worth, TX 76116 Phone: 817-386-5500 Fax: 817-386-5500
Lauren Elizabeth Galipp, OT Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022
Katherine Moos, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Altamesa Blvd, Fort Worth, TX 76133 Phone: 817-346-1800
Diane R Alfino, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 West Fwy, Suite 100, Fort Worth, TX 76102 Phone: 888-997-2669
Mrs. Terra Anita Brown, OTR, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St Ste 100, Fort Worth, TX 76107 Phone: 817-569-4300

Mrs Marisa Mae Thompson, MA, OTR/L - Medicare Occupational Therapist in Fort Worth, TX