Individual provider Active NPI

Nicole Louise Messick, COTA

  • Occupational Therapist
  • Westwood, NJ
National Provider Identifier
1073893129
Registry record updated Aug 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TA09070400 Issued in NJ
Practice address
99 Kinderkamack Rd
Suite 204
Westwood, NJ 07675-3012
Phone
(201) 497-6211
Fax
(201) 497-6212
NPI assigned
Aug 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2011

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 46TA09070400 NJ Primary

Addresses

Primary practice location

99 Kinderkamack Rd
Suite 204
Westwood, NJ 07675-3012

Mailing address

39 Highland Ave
Emerson, NJ 07630-1211
Phone (201) 497-6211

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

State licenses

LicenseStateTypeSpecialty
46TA09070400NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313884800000",
    "number": "1073893129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 HIGHLAND AVE",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301211",
            "telephone_number": "201-497-6211",
            "fax_number": "201-497-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD",
            "address_2": "SUITE 204",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753012",
            "telephone_number": "201-497-6211",
            "fax_number": "201-497-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSICK",
        "first_name": "NICOLE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2011-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TA09070400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2011; 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.