Individual provider Active NPI

Nicole Marie Palase, OTR/L

  • Occupational Therapist
  • West Chester, PA
National Provider Identifier
1396389771
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC016659 Issued in PA
Practice address
106 Bent Tree Dr
West Chester, PA 19380-6717
Phone
(917) 593-1606
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 OC016659 PA Primary

Addresses

Primary practice location

106 Bent Tree Dr
West Chester, PA 19380-6717

Mailing address

106 Bent Tree Dr
West Chester, PA 19380-6717
Phone (917) 593-1606

Other practice location 1

106 Bent Tree Dr
West Chester, PA 19380-6717
Phone (917) 593-1606

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
OC016659PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1396389771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BENT TREE DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806717",
            "telephone_number": "917-593-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BENT TREE DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806717",
            "telephone_number": "917-593-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Bent Tree Dr",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193806717",
            "country_code": "US",
            "telephone_number": "917-593-1606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALASE",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC016659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.