Nicole Kay Summerson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005688 Issued in CO

Practice address

7251 W 20TH St BLDG P2
Greeley, CO 80634-4625

Phone

(970) 702-2507

NPI assigned

Oct 18, 2018

Last updated

Oct 18, 2018By the provider in NPPES

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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Noco Pediatric OT, LLC

  • Occupational Therapist
  • Greeley, CO
  • NPI 1043828940
  NPD
• Noco Pediatric OT, LLC

  dba Front Range Pediatric Therapy Associates

  • Occupational Therapist
  • Windsor, CO
  • NPI 1750726386
  NPD
• Noco Pediatric OT, LLC

  dba Integrated Pediatric Therapy Associates

  • Occupational Therapist
  • Fort Collins, CO
  • NPI 1841873981
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1346716222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 ROYAL VISTA CIR",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805289321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W 20TH ST BLDG P2",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344625",
            "telephone_number": "970-702-2507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 Royal Vista Cir",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CO",
            "postal_code": "805289321",
            "country_code": "US",
            "telephone_number": "970-305-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERSON",
        "first_name": "NICOLE",
        "middle_name": "KAY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin James Stutzman, DC
• Roslyn Suarez Vega
• Paige Sukup, MS
• Sarah Elizabeth Sullivan
• Jaclyn Heinze Summers, PA-C
• Summit Pathology
• Summit Pathology
• Summit Therapy Group LLC
• Summit View Pharmacy
• Sundance Counseling West LLC

• Occupational Therapist in Greeley, CO
• Providers in Greeley, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.