Nicole Groll, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

469582 Issued in OR

Practice address

2611 Pringle Rd SE
Salem, OR 97302-1533

Phone

(860) 613-9930

NPI assigned

May 1, 2022

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 OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Occupational Therapist, OR

  Medicare reassignment NPD
• Cascade Family Care PC

  • Family Nurse Practitioner
  • Salem, OR
  • NPI 1174717573
  NPD (past)

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1124763503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 PRINGLE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 PRINGLE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021533",
            "telephone_number": "860-613-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLL",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "469582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deonne Grimmer
• Maxwell Grimsrud
• Karen E Grisham, PSYCHIATRIC MENTAL H
• Michael John Groat, MA, LPC
• Tawnya Renee Grogan
• Ashly Groom
• Natasha Groom, THW, CRM, PSS
• Alexi Gross, MA, LCMHC, LCAS
• Heidi Elizabeth Gross, LMT
• Melanie A Ground, LMT

• Occupational Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.