Individual provider Active NPI

Nancy E Hickmon, OTR

  • Occupational Therapist
  • Winston Salem, NC
National Provider Identifier
1093099319
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6318 Issued in NC
Practice address
2255 Weamont St
Winston Salem, NC 27107-2486
Phone
(336) 577-3108
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 6318 NC
Occupational Therapist 225X00000X 6318 NC Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 6318 NC
Environmental Modification Occupational Therapist 225XE0001X 6318 NC
Pediatric Occupational Therapist 225XP0200X 6318 NC
Physical Rehabilitation Occupational Therapist 225XP0019X 6318 NC
Gerontology Occupational Therapist 225XG0600X 6318 NC
Occupational Therapy Assistant 224Z00000X 6318 NC
Mental Health Occupational Therapist 225XM0800X 6318 NC
Ergonomics Occupational Therapist 225XE1200X 6318 NC
Driving and Community Mobility Occupational Therapist 225XR0403X 6318 NC

Addresses

Primary practice location

2255 Weamont St
Winston Salem, NC 27107-2486

Mailing address

2255 Weamont St
Winston Salem, NC 27107-2486
Phone (336) 577-3108

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6318NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bettertherapy LLC Occupational Therapy Assistant CurrentSince Nov 18, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1093099319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 WEAMONT ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072486",
            "telephone_number": "336-577-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 WEAMONT ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271072486",
            "telephone_number": "336-577-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMON",
        "first_name": "NANCY",
        "middle_name": "E",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6318",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "NC",
            "license": "6318",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "NC",
            "license": "6318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.