Individual provider Active NPI

Nancy Lynn Rickerson, OT

  • Occupational Therapist
  • Tacoma, WA
National Provider Identifier
1356552467
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00000687 Issued in WA
Practice address
8439 S 19TH St
Tacoma, WA 98466-2905
Phone
(425) 879-3403
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00000687 WA Primary

Addresses

Primary practice location

8439 S 19TH St
Tacoma, WA 98466-2905

Mailing address

8439 S 19TH St
Tacoma, WA 98466-2905
Phone (425) 879-3403

Other practice location 1

9399 Ridgetop Blvd NW Ste 102
Silverdale, WA 98383-8580
Phone (425) 318-0551

Other names 1

  • Dr. Nancy L. Rickerson Nohavec Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@physioworks.clinic Direct PhysioWorks Silverdale PLLC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT00000687WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physioworks Silverdale PLLC Current Accepting new patients

Locations

9399 Ridgetop Blvd NW
Ste 102
Silverdale, WA 98383
Phone (360) 900-2626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1356552467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984662905",
            "telephone_number": "425-879-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 S 19TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984662905",
            "telephone_number": "425-879-3403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9399 Ridgetop Blvd NW Ste 102",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983838580",
            "country_code": "US",
            "telephone_number": "425-318-0551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKERSON",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@physioworks.clinic",
            "affiliation": "Y",
            "endpointDescription": "PhysioWorks business email",
            "affiliationName": "PhysioWorks Silverdale PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9399 Ridgetop Blvd NW Ste 102",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983838580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "RICKERSON NOHAVEC",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.