Ryan James Nicholson, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

478056

Practice address

3201 University Dr E Ste 365
Bryan, TX 77802-3485

Phone

(979) 703-1913

NPI assigned

Aug 25, 2022

Sex

Male

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 TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Hand Therapy LLCGroup PAC ID 8628487766, 3 clinicians

Practice addresses (Care Compare)

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.

• Texas Hand Therapy LLC

  • Occupational Therapist
  • Bryan, TX
  • NPI 1235710757
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1134848864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAMERCY PARK DR APT 418",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024542",
            "telephone_number": "979-255-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 365",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023485",
            "telephone_number": "979-703-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "478056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lien Thuy Nguyen, PA-C
• Trung Quang Nguyen, DDS
• Tuyet T. Nguyen, DDS
• Alex Anne Nichols, M.ED., LPC
• Jae Nicholson
• Adil Noshir Nicolwala, MD
• Zenia A. Nicolwala, M.D.
• Robert Eugene Niemann, R.PH
• Dencil John Ninan, DO
• Jennifer M Ninci, M.ED., BCBA

• Occupational Therapist in Bryan, TX
• Providers in Bryan, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.