Active NPI
Nicole Marie Lyman, OTR/L
- Occupational Therapist
- Chelan, WA
National Provider Identifier
1154501567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00004179
- Practice address
- 407 E Johnson
Chelan, WA 98816 - Phone
- (509) 630-9917
- Fax
- (509) 682-3373
- NPI assigned
- Nov 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00004179 | WA | Primary |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | OT00004179 | WA | |
| Low Vision Occupational Therapist | 225XL0004X | OT00004179 | WA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT00004179 | WA | |
| Pediatric Occupational Therapist | 225XP0200X | OT00004179 | WA |
Addresses
Primary practice location
407 E Johnson
Chelan, WA 98816
Mailing address
935 Vassar Ave
Wenatchee, WA 98801-1614
Phone (509) 630-9917
Other names 1
- Nicole Marie Pfeiffer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00004179 | WA | MD | Feeding, Eating & Swallowing Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352160000000",
"number": "1154501567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 VASSAR AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988011614",
"telephone_number": "509-630-9917",
"fax_number": "509-682-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E JOHNSON",
"city": "CHELAN",
"state": "WA",
"postal_code": "98816",
"telephone_number": "509-630-9917",
"fax_number": "509-682-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYMAN",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2012-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00004179",
"primary": true
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "WA",
"license": "OT00004179",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "WA",
"license": "OT00004179",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "WA",
"license": "OT00004179",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT00004179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "PFEIFFER",
"middle_name": "MARIE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chelan, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.