Nicole Rucki, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12105 Issued in MA

Practice address

258 Silver St
Monson, MA 01057-9440

Phone

(413) 262-4164

NPI assigned

Jul 25, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1407400765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SILVER ST",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579440",
            "telephone_number": "413-262-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SILVER ST",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579440",
            "telephone_number": "413-262-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKI",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "12105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CHD.org",
            "affiliation": "N",
            "address_1": "342 Birnie Ave",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011071104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Oliveira, MA, LMHC
• Stanley Edmund Piecuch, DMD
• Stacy Politis
• Sarah Beth Puffer Caron, OTR/L
• Melissa Harrison Raymond, R.N.
• Judith Ann Shea, PTA
• Asha Sindwani, MD
• Melanie S Skutnik, RN, BSN
• Richard M Smith, DC
• Brenda L Tibbetts

• Occupational Therapist in Monson, MA
• Providers in Monson, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.