Sarah Vitale Nichols, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3415 Issued in MS

Practice address

216 Main St
Lake Village, AR 71653-1916

Phone

(870) 265-3950

Fax

(870) 265-2525

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

No

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

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.

• Nichols Occupational Therapy PLLC

  • Occupational Therapist
  • Hollandale, MS
  • NPI 1699430280
  NPD Authorized official
• Occupational Therapy Services Inc.

  • Pediatric Occupational Therapist
  • Lake Village, AR
  • NPI 1942314893
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1285076307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SUSIE B LAW RD",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387489710",
            "telephone_number": "601-850-7634",
            "fax_number": "360-368-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MAIN ST",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531916",
            "telephone_number": "870-265-3950",
            "fax_number": "870-265-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Susie B Law Rd",
            "address_purpose": "LOCATION",
            "city": "Hollandale",
            "state": "MS",
            "postal_code": "387489710",
            "country_code": "US",
            "telephone_number": "601-850-7634",
            "fax_number": "360-368-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "SARAH",
        "middle_name": "VITALE",
        "name_prefix": "Miss",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT3415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Lane Morgan Esters, MHPP (CHILD CASE MAN
• Brooke Mosow, SPEECH PATHOLOGIST
• Donyell D Moye
• Virginia Myers
• Cathy Nash
• Christina Evette Nolen, AT
• Occupational Therapy Services Inc.
• Theophilus T Okpara, LAC
• Paige Pittman Patrick, FNP
• Tarsha R Perry, AT

• Occupational Therapist in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Occupational Therapist in Arkansas

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