Nicole Rae Straw, MA OTR,L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103155 Issued in MN

Practice address

141 Oak Ave
Big Lake, MN 55309-8964

Phone

(763) 234-9250

NPI assigned

Jul 19, 2011

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1396033759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 OAK AVE",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098964",
            "telephone_number": "763-234-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 OAK AVE",
            "city": "BIG LAKE",
            "state": "MN",
            "postal_code": "553098964",
            "telephone_number": "763-234-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAW",
        "first_name": "NICOLE",
        "middle_name": "RAE",
        "credential": "MA OTR,L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Big Lake, MN
• Providers in Big Lake, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.