Individual provider Active NPI

Nicole Marie Scherbarth, CTRS, ATRIC

  • Recreation Therapist
  • Royal Oak, MI
National Provider Identifier
1346710639
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Practice address
1715 Dallas Ave
Royal Oak, MI 48067-3517
Phone
(616) 901-5670
NPI assigned
Nov 28, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X Primary

Addresses

Primary practice location

1715 Dallas Ave
Royal Oak, MI 48067-3517

Mailing address

PO Box 1849
Royal Oak, MI 48068-1849
Phone (248) 419-0327

Other practice location 1

1151 Scott Lake Rd
Waterford, MI 48328-1526
Phone (616) 901-5670

Other practice location 2

5460 Arden Ave
Warren, MI 48092-1194
Phone (616) 901-5670

Other names 1

  • Nicole Cassello Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1346710639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480681849",
            "telephone_number": "248-419-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 DALLAS AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673517",
            "telephone_number": "616-901-5670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1151 Scott Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483281526",
            "country_code": "US",
            "telephone_number": "616-901-5670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5460 Arden Ave",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480921194",
            "country_code": "US",
            "telephone_number": "616-901-5670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHERBARTH",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "CTRS, ATRIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CASSELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.