Nicole Fuca, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021997-1 Issued in NY

Practice address

470 Mamaroneck Ave Ste 204
White Plains, NY 10605-1839

Phone

(914) 421-8270

NPI assigned

Nov 15, 2017

Last updated

Jun 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Creative Wonders OT PT SLP PLLC

  dba wonderkids therapy center

  • Early Intervention Provider Agency
  • White Plains, NY
  • NPI 1306098553
  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1093228819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MAMARONECK AVE STE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MAMARONECK AVE STE 204",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051839",
            "telephone_number": "914-421-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 Route 6 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mahopac",
            "state": "NY",
            "postal_code": "105414787",
            "country_code": "US",
            "telephone_number": "914-426-4502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUCA",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "004893",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021997-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Froehlich
• Axxel Alexis Frometa
• Eric D Frost, PHARM D
• Jennifer Ann Frustace, MSPT
• Elizabeth Ftaya, LPT
• Carlos Fuentes
• Jaylyn Fuentes, PA-C
• Full Circle Midwifery
• Full Circle Womens Health
• Kathleen Furfey

• Occupational Therapist in White Plains, NY
• Providers in White Plains, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.