Individual provider Active NPI

Nicole Depaola, OTR/L

  • Occupational Therapist
  • Claremont, CA
National Provider Identifier
1174890461
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
12022 Issued in CA
Practice address
423 N Cambridge Ave
Claremont, CA 91711-4533
Phone
(909) 900-5344
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 12022 CA Primary

Addresses

Primary practice location

423 N Cambridge Ave
Claremont, CA 91711-4533

Mailing address

423 N Cambridge Ave
Claremont, CA 91711-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221107002245 CA Practitioner - Occupational Therapist in Private Practice 0345617262 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Advantage Physical Therapy Inc CurrentSince Aug 13, 2022 Accepting new patients
Pearl Chiropractic Inc PastSince Jul 23, 2020 Accepting new patients

Locations

3711 Long Beach Blvd
Ste 805
Long Beach, CA 90807
Phone (310) 370-1200

4301 Atlantic Ave
Ste 5
Long Beach, CA 90807
Phone (310) 370-1200

3445 Pacific Coast Hwy
Ste 310
Torrance, CA 90505
Phone (310) 370-1200

2842 Sepulveda Blvd
Torrance, CA 90505
Phone (310) 325-0800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1174890461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N CAMBRIDGE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N CAMBRIDGE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114533",
            "telephone_number": "909-900-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAOLA",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "12022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.