Erin Elizabeth Nivens, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

20476 Issued in FL

Practice address

2297 Citrus Hill Rd
Palm Harbor, FL 34683-3212

Phone

(919) 605-0750

NPI assigned

Jan 26, 2007

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

Other identifiers 1

Other names 1

• Erin Elizabeth Kelly Former name

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 and National Provider Directory roles.

• Emerge-a Child'S Place, PLLC

  • Speech-Language Pathologist
  • Durham, NC
  • NPI 1730229188

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1124174826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 CITRUS HILL RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833212",
            "telephone_number": "919-605-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2297 CITRUS HILL RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346833212",
            "telephone_number": "919-605-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVENS",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "6285",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301951",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "KELLY",
            "middle_name": "ELIZABETH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Nicastro, MSW
• James J Nichols, P.T.
• Nicole T Gordon, DMD, PLC
• Philip Christopher Nicotera, PA-C
• Bonnie Nielsen, LCSW
• Tracey Lee Noble, COTA/L
• Margaret Avery Noblit, M.A. CCC-SLP
• Noel S Tenenbaum MD PA
• Amy Lynn Noia
• Non-Surgical Orthopedics Michael Hadley D O Inc

• Occupational Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.