Nicole Thomas, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

4934 Luxemburg St SE
Grand Rapids, MI 49546-8406

Phone

(616) 828-5492

Fax

(855) 206-3270

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Therapeutic Solutions, Inc

  • Community/Behavioral Health Agency
  • Grand Rapids, MI
  • NPI 1114329489
  NPD (past)

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1225543689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1053",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493011053",
            "telephone_number": "616-828-5492",
            "fax_number": "855-206-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 LUXEMBURG ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468406",
            "telephone_number": "616-828-5492",
            "fax_number": "855-206-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NICOLE",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenin Thomas
• Lince Thomas, PHARMD
• Megan Miriam Thomas, DO
• Natalie Judy Thomas
• Nicholas Thomas
• Roberta Lynne Thomas, PHD, RN, NP
• Thomcy Mary Thomas, M.A., LLPC
• Treg Allen Thomas, PSY.D.
• Wanda Thomas
• Yuliya Thomas, CRNA

• Recreation Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Recreation Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.