Nicole Thawley, MS OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

63 015616 Issued in NY

Practice address

450 Saint Pauls PL
Bronx, NY 10456-1938

Phone

(973) 769-9316

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Nuts and Bolts Developmental Therapy Services

  • Occupational Therapist
  • Ringwood, NJ
  • NPI 1033702949
  NPD Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1396003208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GRACE TER",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662622",
            "telephone_number": "973-769-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SAINT PAULS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104561938",
            "telephone_number": "973-769-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAWLEY",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63 015616",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00488800",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "63 015616",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00488800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prava Thapa
• Chin Thapvongse, MD
• Tessie Tharakan, M.D.
• Thara John Tharakan
• Ornela Thartori, MD
• Roshan Thayalan, MD
• The Art of Becoming, Inc.
• The Bronx-Lebanon Highbridge Woodycrest Center
• The Children'S Aid Society
• The Dennelisse Corporation

• Pediatric Occupational Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.