Nicole McClain, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2021024254 Issued in MO

Practice address

3420 Harry S Truman Blvd
Saint Charles, MO 63301-4046

Phone

(636) 926-2700

NPI assigned

Jun 26, 2021

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

Other identifiers 2

Other names 1

• Nicole Larkin Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• United Services for Children

  • Speech-Language Pathologist
  • St. Charles, MO
  • NPI 1245436344

  Occupational Therapist

  NPD
• Sensory Solutions, LLC

  • Occupational Therapist
  • Creve Coeur, MO
  • NPI 1114090792
  NPD (past)

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1164092771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 HARRY S TRUMAN BLVD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 HARRY S TRUMAN BLVD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014046",
            "telephone_number": "636-926-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10332 Old Olive Street Rd",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631415922",
            "country_code": "US",
            "telephone_number": "314-567-4707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4200 N Cloverleaf Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633766436",
            "country_code": "US",
            "telephone_number": "636-922-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-26",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2021024254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507265809",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856118104",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Info@sensorysolutions.org",
            "affiliation": "N",
            "address_1": "10332 Old Olive Street Rd",
            "city": "Creve Coeur",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631415922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://fusionwebclinic.com/",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "10332 Old Olive Street Rd",
            "city": "Creve Coeur",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631415922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.clinicsource.com/ClinicPortal/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3420 Harry S Truman Blvd",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633014046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LARKIN",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David N Maywright, PHARMD
• Carl A Mazzola, MD
• Darla Jean McAdams
• Richard Todd McAnelly, PHARMD
• Eugene J McCabe, M.D.
• David L McCollister, M.D.
• Colleen Ann McConnaha, PT
• Amy Theresa McCory, ANP
• Joann Lee McCracken, TH.D., L.P.C.
• McCullough Optometry Associates, P.C.

• Occupational Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.