Individual provider Active NPI

Erin L Nichols, COTA

  • Occupational Therapy Assistant
  • Weatherford, TX
National Provider Identifier
1356993588
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
215805 Issued in TX
Practice address
1836 Santa Fe Dr
Weatherford, TX 76086-6422
Phone
(817) 341-7611
Fax
(817) 599-7655
NPI assigned
Jul 9, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 215805 TX Primary

Addresses

Primary practice location

1836 Santa Fe Dr
Weatherford, TX 76086-6422

Mailing address

1836 Santa Fe Dr
Weatherford, TX 76086-6422
Phone (817) 341-7611

Other practice location 1

300 S Morgan St
Granbury, TX 76048-1956
Phone (682) 205-3340

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hr@pedi-rehab.com

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

State licenses

LicenseStateTypeSpecialty
215805TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weatherford Home Care Services LLC Past Accepting new patients
All About Rehab LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1356993588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866422",
            "telephone_number": "817-341-7611",
            "fax_number": "817-599-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SANTA FE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866422",
            "telephone_number": "817-341-7611",
            "fax_number": "817-599-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Morgan St",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760481956",
            "country_code": "US",
            "telephone_number": "682-205-3340",
            "fax_number": "682-205-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "215805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hr@pedi-rehab.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1836 Santa Fe Dr",
            "city": "Weatherford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760866422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.