Nicole Rostoker, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5120 Issued in CA

Practice address

837 21St St
Santa Monica, CA 90403-2004

Phone

(310) 922-5205

NPI assigned

Sep 24, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Child Success Center

  • Behavior Analyst
  • Los Angeles, CA
  • NPI 1740515527

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1174496467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 21ST ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032004",
            "telephone_number": "310-922-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 21ST ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904032004",
            "telephone_number": "310-922-5205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2023 S Westgate Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900256118",
            "country_code": "US",
            "telephone_number": "310-899-9597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSTOKER",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L Ross, M.D.
• Robert Lewis Ross, M.D.
• Sheryl Ann Ross, M.D.
• Sophie Rosseel
• Anne Rossell
• Kristin Rotblatt, L.AC
• Gerald M Roth, MD
• Christina Rothans, LCSW
• Marjorie Ellen Rothman, AA, BA
• Yariv E Rothman, DC

• Pediatric Occupational Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.