Sean Eric Nicholson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT000002518 Issued in TN

Practice address

1303 Camelot Bay
Mount Juliet, TN 37122-1354

Phone

(615) 804-1297

Fax

(615) 773-4789

NPI assigned

Nov 30, 2009

Sex

Male

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

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.

• Nicholson Therapies, Inc.

  • Home Health Agency
  • Mount Juliet, TN
  • NPI 1083090484
  NPD (past) Authorized official

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1245568484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 CAMELOT BAY",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371221354",
            "telephone_number": "615-804-1297",
            "fax_number": "615-773-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CAMELOT BAY",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371221354",
            "telephone_number": "615-804-1297",
            "fax_number": "615-773-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "SEAN",
        "middle_name": "ERIC",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-30",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT000002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yen Kim Ngo, PHARM.D.
• Hoang Phi Nguyen, DMD
• Khang Nguyen, SRNA, RN
• Lilian Ngoc-Linh Nguyen, O.D.
• Nicholson Therapies, Inc.
• Stephanie Nikel
• Taylor P Nisbet
• Haley Jo Nollner
• Nathalie Nordstrom
• Michelle Norman, RBT

• Occupational Therapist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.