Nicole Alise Peura, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13804 Issued in MA

Practice address

20 Graf Rd Suite # 101
Newburyport, MA 01950

Phone

(978) 358-8085

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Medicine North Orthopaedic Surgery, Inc.Group PAC ID 0547259095, 87 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sports Medicine North Orthopaedic Surgery, Inc.

  • Specialist
  • Peabody, MA
  • NPI 1760423719
  Medicare reassignment Care Compare group NPD
• Sports Medicine North Orthopaedic Surgery, Inc

  • Multi-Specialty Clinic/Center
  • Gloucester, MA
  • NPI 1679168652

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1053063891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 WETHERSFIELD ST",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691711",
            "telephone_number": "978-360-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GRAF RD SUITE # 101",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-358-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEURA",
        "first_name": "NICOLE",
        "middle_name": "ALISE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Williams, PHD
• Paulette Ruth Peterson, LMHC, LMFT
• Theadora Ruth Peterson, LADC-1
• Arielle Petti, FNP-C
• Marjorie Pettingell
• Marjorie Ann Pierce, LICSW
• Meagan Emily Pietrasiak, NP
• Michael A Pilz, M.D.
• Sherry Pleau, CPNP
• Jennifer Pollard

• Occupational Therapist in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.