Active NPI
Nicole Schott, MSOT, OTRL
- Occupational Therapist
- Port Huron, MI
National Provider Identifier
1154911683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201010508
- Practice address
- 2601 Electric Ave
Port Huron, MI 48060-6587 - Phone
- (810) 216-1800
- NPI assigned
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201010508 | MI | Primary |
Addresses
Primary practice location
2601 Electric Ave
Port Huron, MI 48060-6587
Mailing address
208 North St
Yale, MI 48097-2953
Phone (810) 357-4967
Other practice location 1
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 265-4838
Other names 1
- Nicole Avery
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | navery2@primehealthcare.com | Health Information Exchange (HIE) |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1154911683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 NORTH ST",
"city": "YALE",
"state": "MI",
"postal_code": "480972953",
"telephone_number": "810-357-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 ELECTRIC AVE",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480606587",
"telephone_number": "810-216-1800"
}
],
"practiceLocations": [
{
"address_1": "1311 Mamaroneck Ave Ste 140",
"address_purpose": "LOCATION",
"city": "White Plains",
"state": "NY",
"postal_code": "106055224",
"country_code": "US",
"telephone_number": "914-265-4838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHOTT",
"first_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MSOT, OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010508",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "navery2@primehealthcare.com",
"affiliation": "N",
"endpointDescription": "Work E-mail Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "2601 Electric Ave",
"city": "Port Huron",
"state": "MI",
"country_code": "US",
"postal_code": "480606587",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "AVERY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.