Stacey S Nicoll, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2833 Issued in ME

Practice address

15 Strawberry Ave
Lewiston, ME 04240-5941

Phone

(207) 777-7740

NPI assigned

Apr 23, 2012

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 ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Androscoggin Home Health Services, Inc

  • Internal Medicine Physician
  • Lewiston, ME
  • NPI 1013957687
  Medicare reassignment NPD
• Androscoggin Home Health Services, Inc.

  • Occupational Therapist
  • Lewiston, ME
  • NPI 1518573666
  NPD
• Androscoggin Home Health Services, Inc.

  • Developmental Therapist
  • Lewiston, ME
  • NPI 1962646844

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1104184530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FISH ST",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042823250",
            "telephone_number": "207-740-0259",
            "fax_number": "207-777-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 STRAWBERRY AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405941",
            "telephone_number": "207-777-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Carnegie Plz",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080031000",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "fax_number": "877-407-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICOLL",
        "first_name": "STACEY",
        "middle_name": "S",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary J Newton, MD
• Nfi North, Inc
• Nfi North: Dirigo Place
• Nanah Ngarambe
• Emily Nguyen, MD
• Carol Nightingale
• Jean D'Arc Niyigirimpuhwe Sr.
• Dieudonne Niyonsaba
• Noble Personal Care LLC
• Mark Ronald Nolin, P.T.

• Occupational Therapist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.