Active NPI
Erin L Nichols, COTA
- Occupational Therapy Assistant
- Weatherford, TX
National Provider Identifier
1356993588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 215805
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 215805 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Brazos River Home Health
- Home Health Agency
- Weatherford, TX
- NPI 1245317619
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.