Active NPI
Nicolette S Ephraim, OTD
- Occupational Therapist
- Washington, DC
National Provider Identifier
1023782026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT010001827
- Practice address
- 5901 Macarthur Blvd NW
Washington, DC 20016-2541 - Phone
- (202) 349-3400
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 09791 | MD | |
| Occupational Therapist | 225X00000X | OT010001827 | DC | Primary |
Addresses
Primary practice location
5901 Macarthur Blvd NW
Washington, DC 20016-2541
Mailing address
121 Johnathan Rd
Manchester, NJ 08759-6015
Phone (732) 546-4083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1023782026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 JOHNATHAN RD",
"city": "MANCHESTER",
"state": "NJ",
"postal_code": "087596015",
"telephone_number": "732-546-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 MACARTHUR BLVD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162541",
"telephone_number": "202-349-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPHRAIM",
"first_name": "NICOLETTE",
"middle_name": "S",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "09791",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": "OT010001827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.