Carla Sue Nicholas, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT003869 Issued in OH

Practice address

7620 Southern Blvd
Ste 3
Boardman, OH 44512-5667

Phone

(330) 965-9330

Fax

(330) 965-9308

NPI assigned

Apr 3, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southwoods Rehabilitation LLC

  • Special Hospital
  • Boardman, OH
  • NPI 1528477288

  Occupational Therapist

  NPD (past)
• The Surgery Center at Southwoods, LLC

  • Special Hospital
  • Youngstown, OH
  • NPI 1740398890
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1104947449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 S CANFIELD NILES RD UNIT 1",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154084",
            "telephone_number": "330-953-0129",
            "fax_number": "330-953-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 SOUTHERN BLVD",
            "address_2": "STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125667",
            "telephone_number": "330-965-9330",
            "fax_number": "330-965-9308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7630 Southern Blvd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445125633",
            "country_code": "US",
            "telephone_number": "330-729-8262",
            "fax_number": "330-729-8269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Debartolo Pl Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445127004",
            "country_code": "US",
            "telephone_number": "234-287-6660",
            "fax_number": "234-287-6669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "CARLA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT003869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Path Recovery, LLC
• Maureen Kovach Newell, B.A., COTA/L
• Julia Lyn Newman, NP-C
• Kari An Nguyen, DMD
• Nicholas a Atanasoff DO
• Natalie Elizabeth Nickles, PA-C
• David Noday, R.PH.
• Johanna Santos Nogay, DMD
• David Brian Noll, M.S.W.
• Northern Ohio Medical Specialists, LLC

• Occupational Therapist in Boardman, OH
• Providers in Boardman, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.