Individual provider Active NPI

Julie Nicholson, OTR/L

  • Occupational Therapist
  • Jersey City, NJ
National Provider Identifier
1003580317
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00885100 Issued in NJ
Practice address
361 Montgomery St
Jersey City, NJ 07302-3345
Phone
(201) 932-2656
Fax
(201) 932-2656
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00885100 NJ Primary

Addresses

Primary practice location

361 Montgomery St
Jersey City, NJ 07302-3345

Mailing address

408 Pompton Ave
Cedar Grove, NJ 07009-1813
Phone (973) 433-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210809002522 NJ Practitioner - Occupational Therapist in Private Practice 5496159774 Reassigns benefits to 4 organizations
I20240213001832 NY Practitioner - Occupational Therapist in Private Practice 5496159774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00885100NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holsman Physical Therapy and Wellness PC CurrentSince Aug 2, 2021 Accepting new patients
Home Therapy, LLC Occupational Therapist CurrentSince Aug 2, 2021 Accepting new patients
Holsman Physical and Occupational Therapy, PC Occupational Therapist CurrentSince Aug 2, 2021 Accepting new patients
Holsman Physical and Occupational Therapy PC Occupational Therapist CurrentSince Aug 2, 2021 Accepting new patients
Stern at Home Physical Therapy PC Occupational Therapist CurrentSince Jan 1, 2024 Accepting new patients
Holsman PT Rehabilitation PC Occupational Therapist PastSince Aug 8, 2021 Accepting new patients

Locations

408 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 433-0732

1700 State Rt 3
Clifton, NJ 07013
Phone (862) 249-4901

1070 Clifton Ave
Ste 1A
Clifton, NJ 07013
Phone (973) 246-6565

15-01 Broadway
Ste 12
Fair Lawn, NJ 07410
Phone (201) 355-5199

361 Montgomery St
Jersey City, NJ 07302
Phone (201) 932-2656

361 Montgomery St
Ste 1
Jersey City, NJ 07302
Phone (201) 932-2656

1600 Saint Georges Ave
Ste 107
Rahway, NJ 07065
Phone (732) 428-5566

265 State Route 36
Ste 207
West Long Branch, NJ 07764
Phone (845) 625-2815

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 6

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1003580317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091813",
            "telephone_number": "973-433-0732",
            "fax_number": "973-433-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 MONTGOMERY ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073023345",
            "telephone_number": "201-932-2656",
            "fax_number": "201-932-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "JULIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00885100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.