Nicole Vezina, OTR
Individual provider Active NPI Occupational Therapist · Longmeadow, MA
NPI 1265225635 · NPPES record last updated Jun 10, 2025
Key facts
- NPI
- 1265225635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTL14867 (MA)
- Practice address
- 24 Tabor Xing
Longmeadow, MA 01106-1779 - Phone
- (800) 633-6313
- NPI assigned
- May 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthpro Heritage Rehab and Fitness LLC
Practice addresses (Care Compare)
24 Tabor Xing
Longmeadow, MA 01106-1779
Phone (413) 318-8429
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618003221 | MA | Practitioner - Occupational Therapist in Private Practice | 8820509581 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTL14867 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | OTL14867 | MA | Yes |
Addresses
Primary practice location
24 Tabor Xing
Longmeadow, MA 01106-1779
Mailing address
71 Old Farm Rd
Chicopee, MA 01020-3053
Phone (413) 887-7363
Other providers in Longmeadow, MA
- Rebecca Ann Vassallo
- Christine Rae Vavak
- Isabel Victoria Vazquez Morales
- Gabriella Vecchio
- Melissa Rose Verner
- Chiamaka Sophia Victor Onyeka
- Yelliana Lorraine Villa
- Visions of Longmeadow
- Arnold Harvey Vogel
- Jessica Vu
All providers in Longmeadow, MA · Occupational Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.