Nicole Faria, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

020986 Issued in NY

Practice address

22 Autumn Ave
Clark, NJ 07066-1921

Phone

(098) 472-6221

NPI assigned

Nov 4, 2016

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)

Enrolled

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1275085482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY",
            "address_2": "STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 AUTUMN AVE",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661921",
            "telephone_number": "098-472-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIA",
        "first_name": "NICOLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Michael S Estrella, M.D.
• Jeffrey Allen Everitt, D.M.D.
• Jacob Fahringer, PT, DPT
• Family Chiropractic of Clark LLC
• Family Choice Hospice, LLC
• Ferris Home Rehabilitation LLC
• Ryan Andrew Finkel, MD
• First Health, P.a. (Clark First Health)
• Mary Anita Flanagan Buchbinder, DMD
• Dora Luisa Flores-Ryan, MSN, RNC, CNM

• Occupational Therapist in Clark, NJ
• Providers in Clark, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.