Individual provider Active NPI

Nicole Quigley Finnegan, OTR/L

  • Occupational Therapist
  • Ardmore, PA
National Provider Identifier
1265740518
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC010934 Issued in PA
Practice address
120 Saint Pauls Rd
Ardmore, PA 19003
Phone
(908) 310-4848
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 103940 MN
Occupational Therapist 225X00000X OC010934 PA Primary

Addresses

Primary practice location

120 Saint Pauls Rd
Ardmore, PA 19003

Mailing address

120 Saint Pauls Rd
Ardmore, PA 19003-2811
Phone (908) 310-4848

Other practice location 1

26 N Wyoming Ave
Ardmore, PA 19003-1407
Phone (908) 310-4848

Other practice location 2

120 Saint Pauls Rd
Ardmore, PA 19003
Phone (908) 310-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC010934PAMDOccupational Therapist
103940MNMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1265740518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SAINT PAULS RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032811",
            "telephone_number": "908-310-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SAINT PAULS RD",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "19003",
            "telephone_number": "908-310-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 N Wyoming Ave",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "190031407",
            "country_code": "US",
            "telephone_number": "908-310-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Saint Pauls Rd",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "PA",
            "postal_code": "19003",
            "country_code": "US",
            "telephone_number": "908-310-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "NICOLE",
        "middle_name": "QUIGLEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "103940",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC010934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.