Active NPI
Nicole Marie Scherbarth, CTRS, ATRIC
- Recreation Therapist
- Royal Oak, MI
National Provider Identifier
1346710639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.