Eric Mathew Nielson, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3481244201 Issued in UT

Practice address

6246 So Redwood Rd
Avalon Bennion Care Center
SLC, UT 84123

Phone

(801) 955-0690

Fax

(801) 955-2540

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063586634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6246 SO REDWOOD RD",
            "address_2": "AVALON BENNION CARE CENTER",
            "city": "SLC",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-955-0690",
            "fax_number": "801-955-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6246 SO REDWOOD RD",
            "address_2": "AVALON BENNION CARE CENTER",
            "city": "SLC",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-955-0690",
            "fax_number": "801-955-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "ERIC",
        "middle_name": "MATHEW",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "3481244201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4617",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chace McGwire Nicholson
• Taryn Kathleen Nicksic-Springer, PHD
• Jessica Nielsen, FNP
• Meagan Nielsen, RBT
• Natalie Ann Nielsen
• Jordan Nishimoto
• Jason Richard Norby, AUD
• Lisa M Norris, ARPN
• Northern Rockies Holdings
• Melvin F. Nosanchuk, PH.D.

• Occupational Therapist in SLC, UT
• Providers in SLC, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.