Nicole O Riley, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3293 Issued in SC

Practice address

15 Willow Oak Rd W
Hilton Head, SC 29928-4408

Phone

(304) 677-8463

NPI assigned

May 22, 2010

Last updated

May 22, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274486400000",
    "number": "1306165980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WILLOW OAK RD W",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299284408",
            "telephone_number": "304-677-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WILLOW OAK RD W",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299284408",
            "telephone_number": "304-677-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "NICOLE",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "3293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OCCUPATIONAL THEAPY EXAMINERS",
            "identifier": "3293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S. Reid IV, M.D.
• Marquez M Reid, FNP-C
• Lauren Reilley
• Kati Ricardi, DPT
• Laura E Riley, M.D.
• Madison Clary Robbins, MS, CCC-SLP
• Jenna Elizabeth Roller, PA-C
• Ashley B Romine, PT
• Randy Wayne Rose
• Kelly A Ruckno, APRN

• Pediatric Occupational Therapist in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2010; 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.