Mekayla Nicholson, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121958 Issued in TX

Practice address

20818 Gathering Oak Ste 106
San Antonio, TX 78260-3105

Phone

(210) 560-6881

NPI assigned

Jul 20, 2021

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

State licenses

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1235702960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 OAKLAND DR",
            "city": "BLANCO",
            "state": "TX",
            "postal_code": "786064521",
            "telephone_number": "210-560-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20818 GATHERING OAK STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782603105",
            "telephone_number": "210-560-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "MEKAYLA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnn D Nichols, M.D.
• Troy Nichols
• Alysia Nicholson, DDS
• Christopher Diego Nicholson
• Ella Nicholson, SLP ASSISTANT
• Susannah E. Nicholson, MD
• William Dale Nicholson, LCDC
• Nick S Aguilar MD PA (Aguilar Family Health Care)
• Shelly R Nickels, MD
• Abigail Nickelson, IONM

• Occupational Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.