Nicole Dowell, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00634400 Issued in NJ

Practice address

1600 Atlantic Ave Apt 48
Longport, NJ 08403-1065

Phone

(215) 534-6865

NPI assigned

Nov 7, 2014

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Move for Life Physical Therapy LLC

  • Physical Therapist
  • Hudson, MA
  • NPI 1336749605

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1174929822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ATLANTIC AVE APT 48",
            "city": "LONGPORT",
            "state": "NJ",
            "postal_code": "084031065",
            "telephone_number": "215-534-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ATLANTIC AVE APT 48",
            "city": "LONGPORT",
            "state": "NJ",
            "postal_code": "084031065",
            "telephone_number": "215-534-6865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 W 10th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Marcus Hook",
            "state": "PA",
            "postal_code": "190614513",
            "country_code": "US",
            "telephone_number": "610-663-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOWELL",
        "first_name": "NICOLE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00634400",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Longport, NJ
• Providers in Longport, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.